Individual provider Active NPI

Julianne Dalton, OD

  • Optometrist
  • Brea, CA
National Provider Identifier
1164922449
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33884TLG Issued in CA
Practice address
2063 Brea Mall
Brea, CA 92821-5756
Phone
(714) 674-5035
Fax
(714) 674-5044
NPI assigned
Feb 13, 2018
Last updated
Feb 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33884TLG CA Primary

Addresses

Primary practice location

2063 Brea Mall
Brea, CA 92821-5756

Mailing address

2063 Brea Mall
Brea, CA 92821-5756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221014001031 CA Practitioner - Optometry 9537535653 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33884TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hershel B Welton, OD Optometrist CurrentSince Sep 6, 2022 Accepting new patients

Locations

303 W Lincoln Ave
Ste 120
Anaheim, CA 92805
Phone (714) 535-8404

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1164922449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2063 BREA MALL",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2063 BREA MALL",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215756",
            "telephone_number": "714-674-5035",
            "fax_number": "714-674-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "JULIANNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33884TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

Verify at the official NPI Registry.