Organization Active NPI

Optometric Odyssey

  • Medical Specialty Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1104346642
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
OPTOMETRIC ODYSSEY
Practice address
2200 Colorado Ave Ste E
Santa Monica, CA 90404-3589
Phone
(310) 828-6232
Fax
(310) 828-5352
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Donald Ferro, OD
Title
Optometrist
Phone
(310) 828-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

2200 Colorado Ave Ste E
Santa Monica, CA 90404-3589

Mailing address

2200 Colorado Ave Ste E
Santa Monica, CA 90404-3589
Phone (310) 828-6232

National Provider Directory

National Provider Directory

Locations

2200 Colorado Ave
Ste E
Santa Monica, CA 90404
Phone (310) 828-6232

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104346642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 COLORADO AVE STE E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043589",
            "telephone_number": "310-828-6232",
            "fax_number": "310-828-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 COLORADO AVE STE E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043589",
            "telephone_number": "310-828-6232",
            "fax_number": "310-828-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC ODYSSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FERRO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "310-828-6262",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.