NPIMap

Organization Active NPI

Donald H Spaulding OD Inc

Doing business as Donald H Spaulding OD

  • Optometrist
  • Upland, CA
National Provider Identifier
1104827815
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6810T Issued in CA
Legal business name
DONALD H SPAULDING OD INC
Doing business as
Donald H Spaulding OD
Practice address
944-A West Foothill Blvd
Upland, CA 91786-3757
Phone
(909) 982-3040
Fax
(909) 982-9840
NPI assigned
Aug 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Donald Huntley Spaulding, ODNPI 1467664151
Title
Owner / Optometrist
Phone
(909) 982-3040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6810T CA Primary

Addresses

Primary practice location

944-A West Foothill Blvd
Upland, CA 91786-3757

Mailing address

944-A West Foothill Blvd
Upland, CA 91786-3757
Phone (909) 982-3040

Other identifiers 1

IdentifierTypeStateIssuer
064586001OtherDMERC

Other names 1

  • Donald H Spaulding OD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1104827815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944-A WEST FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863757",
            "telephone_number": "909-982-3040",
            "fax_number": "909-982-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944-A WEST FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863757",
            "telephone_number": "909-982-3040",
            "fax_number": "909-982-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD H SPAULDING OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "SPAULDING",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "HUNTLEY",
        "authorized_official_title_or_position": "OWNER / OPTOMETRIST",
        "authorized_official_telephone_number": "909-982-3040",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6810T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "064586001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donald H Spaulding OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.