NPIMap

Organization Active NPI

Simpson & Duran Optometry Inc

  • Optometrist
  • Ontario, CA
National Provider Identifier
1093957888
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6807 Issued in CA
Legal business name
SIMPSON & DURAN OPTOMETRY INC
Practice address
1131 W 6TH St
Suite 150
Ontario, CA 91762-1121
Phone
(909) 986-0918
Fax
(909) 984-4918
NPI assigned
Mar 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sandy Ojeda, D.O
Title
Billing Department
Phone
(909) 986-0918

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 6807 CA Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 6806 CA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 12804 CA

Addresses

Primary practice location

1131 W 6TH St
Suite 150
Ontario, CA 91762-1121

Mailing address

1131 W 6TH St
Suite 150
Ontario, CA 91762-1121
Phone (909) 986-0918

Other identifiers 1

IdentifierTypeStateIssuer
CA312AMedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1093957888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 W 6TH ST",
            "address_2": "SUITE 150",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621121",
            "telephone_number": "909-986-0918",
            "fax_number": "909-984-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 W 6TH ST",
            "address_2": "SUITE 150",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621121",
            "telephone_number": "909-986-0918",
            "fax_number": "909-984-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPSON & DURAN OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "OJEDA",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "BILLING DEPARTMENT",
        "authorized_official_telephone_number": "909-986-0918",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6807",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6806",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12804",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CA312A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.