Walnut Creek Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

028175 Issued in CA

Legal business name

WALNUT CREEK OPTICAL

Practice address

1855 San Miguel Dr
#27A
Walnut Creek, CA 94596

Phone

(925) 935-8822

Fax

(925) 935-1702

NPI assigned

May 22, 2007

Last updated

Feb 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Faris Barakeh, DO PHDNPI 1013990613

Title

Partner

Phone

(925) 935-8822

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Joseph F Barakeh, DO PHD

  • Ophthalmology Physician
  • Walnut Creek, CA
  • NPI 1013990613
  NPD Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1134338338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 SAN MIGUEL DR",
            "address_2": "#27A",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94596",
            "telephone_number": "925-935-8822",
            "fax_number": "925-935-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 SAN MIGUEL DR",
            "address_2": "#27A",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94596",
            "telephone_number": "925-935-8822",
            "fax_number": "925-935-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT CREEK OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "BARAKEH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "FARIS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "925-935-8822",
        "authorized_official_credential": "DO PHD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "028175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Walnut Creek Modern Dentistry, Prof. Corp (Walnut Creek Modern Dentistry)
• Walnut Creek Modern Dentistry, Prof. Corp. (Walnut Creek Modern Dentistry)
• Walnut Creek Optical
• Walnut Creek Optometry Group
• Walnut Creek Orthopedics and Sports Medicine, Professional Corporation
• Walnut Creek Pediatric Medical GRP
• Walnut Creek RX LLC (Qd Pharmacy)

• Eyewear Supplier in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.