NPIMap

Organization Active NPI

Jeffrey a Hall O D Inc

  • Optometrist
  • San Diego, CA
National Provider Identifier
1154552560
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6242T Issued in CA
Legal business name
JEFFREY A HALL O D INC
Practice address
8312 Lake Murray Blvd
Suite C
San Diego, CA 92119-3435
Phone
(619) 464-2076
Fax
(619) 464-8958
NPI assigned
Aug 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Jeffrey A Hall, O.D.
Title
Owner
Phone
(619) 464-2076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6242T CA Primary

Addresses

Primary practice location

8312 Lake Murray Blvd
Suite C
San Diego, CA 92119-3435

Mailing address

8312 Lake Murray Blvd
Suite C
San Diego, CA 92119-3435
Phone (619) 464-2076

National Provider Directory

National Provider Directory

Locations

8312 Lake Murray Blvd
San Diego, CA 92119

Practitioners & affiliated clinicians

Practitioners 5

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": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1154552560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8312 LAKE MURRAY BLVD",
            "address_2": "SUITE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193435",
            "telephone_number": "619-464-2076",
            "fax_number": "619-464-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8312 LAKE MURRAY BLVD",
            "address_2": "SUITE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193435",
            "telephone_number": "619-464-2076",
            "fax_number": "619-464-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A HALL O D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-464-2076",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6242T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.