Uptown Optometry II, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9008T Issued in CA

Legal business name

UPTOWN OPTOMETRY II, INC.

Practice address

85 Brookwood Ave
Suite 12
Santa Rosa, CA 95404

Phone

(707) 546-3836

NPI assigned

Mar 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michele Mary Hayes, O.D.

Title

Ceo

Phone

(707) 546-3836

Specialties & licenses 1

Addresses

Other names 1

• Michele Mary Hayes., OD Former legal business name

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1154748507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BROOKWOOD AVE",
            "address_2": "SUITE 12",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95404",
            "telephone_number": "707-546-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BROOKWOOD AVE",
            "address_2": "SUITE 12",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95404",
            "telephone_number": "707-546-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN OPTOMETRY II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-546-3836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9008T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michele Mary Hayes., OD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Optometrist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.