Organization Active NPI

Rachelle Marie Keltner, an Optometry Corp

  • Eyewear Supplier
  • San Diego, CA
National Provider Identifier
1174882294
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
11900TPG Issued in CA
Legal business name
RACHELLE MARIE KELTNER, AN OPTOMETRY CORP
Practice address
7875 Highland Village PL
Ste. B-102
San Diego, CA 92129-5189
Phone
(858) 538-6695
Fax
(858) 538-3182
NPI assigned
May 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Rachelle Marie Keltner
Title
Owner
Phone
(858) 538-6695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 11900TPG CA Primary

Addresses

Primary practice location

7875 Highland Village PL
Ste. B-102
San Diego, CA 92129-5189

Mailing address

7875 Highland Village PL
Ste. B-102
San Diego, CA 92129-5189
Phone (858) 538-6695

Other names 1

  • Torrey Highlands Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

7875 Highland Village Pl
Ste B102
San Diego, CA 92129
Phone (858) 444-5488

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1174882294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7875 HIGHLAND VILLAGE PL",
            "address_2": "STE. B-102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921295189",
            "telephone_number": "858-538-6695",
            "fax_number": "858-538-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7875 HIGHLAND VILLAGE PL",
            "address_2": "STE. B-102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921295189",
            "telephone_number": "858-538-6695",
            "fax_number": "858-538-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHELLE MARIE KELTNER, AN OPTOMETRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "KELTNER",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-538-6695"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "11900TPG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Torrey Highlands Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 9, 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.