NPIMap

Organization Active NPI

James N Berbos Dba Fullerton Eye Center Optical

  • Eyewear Supplier
  • Fullerton, CA
National Provider Identifier
1154664985
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
G54630 Issued in CA
Legal business name
JAMES N BERBOS DBA FULLERTON EYE CENTER OPTICAL
Practice address
1321 N Harbor Blvd
Suite 300
Fullerton, CA 92835-4124
Phone
(714) 879-0630
Fax
(714) 526-2020
NPI assigned
Mar 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Authorized official

Name
James N Berbos, M.D.
Title
Owner
Phone
(714) 879-0630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X G54630 CA Primary

Addresses

Primary practice location

1321 N Harbor Blvd
Suite 300
Fullerton, CA 92835-4124

Mailing address

1321 N Harbor Blvd
Suite 300
Fullerton, CA 92835-4124
Phone (714) 879-0630

Other names 1

  • Fullerton Eye Center Optical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1154664985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N HARBOR BLVD",
            "address_2": "SUITE 300",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354124",
            "telephone_number": "714-879-0630",
            "fax_number": "714-526-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N HARBOR BLVD",
            "address_2": "SUITE 300",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354124",
            "telephone_number": "714-879-0630",
            "fax_number": "714-526-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES N BERBOS DBA FULLERTON EYE CENTER OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "BERBOS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-879-0630",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "G54630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fullerton Eye Center Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.