Organization Active NPI

Pinnacle Optometry, Inc.

  • Optometrist
  • Corona, CA
National Provider Identifier
1174707707
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11463T Issued in CA
Legal business name
PINNACLE OPTOMETRY, INC.
Practice address
12672 Limonite Ave
Suite 3F
Corona, CA 92880-4201
Phone
(951) 582-9090
Fax
(951) 582-9991
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Dr. Susan Cheung, O.D.
Title
Owner
Phone
(951) 582-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11463T CA Primary

Addresses

Primary practice location

12672 Limonite Ave
Suite 3F
Corona, CA 92880-4201

Mailing address

12672 Limonite Ave
Suite 3F
Corona, CA 92880-4201
Phone (951) 582-9090

Other names 1

  • Cloverdale Optometric Center Doing business as

National Provider Directory

National Provider Directory

Locations

12672 Limonite Ave
Ste 3F
Eastvale, CA 92880
Phone (951) 582-9090

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1174707707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12672 LIMONITE AVE",
            "address_2": "SUITE 3F",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928804201",
            "telephone_number": "951-582-9090",
            "fax_number": "951-582-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12672 LIMONITE AVE",
            "address_2": "SUITE 3F",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928804201",
            "telephone_number": "951-582-9090",
            "fax_number": "951-582-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-582-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11463T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cloverdale Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.