Los Altos Optometric Group, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

05315T Issued in CA

Legal business name

LOS ALTOS OPTOMETRIC GROUP, INC.

Practice address

133 2ND St
Los Altos, CA 94022-2745

Phone

(650) 948-3700

Fax

(650) 941-9980

NPI assigned

Sep 26, 2005

Organization subpart

No

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

Authorized official

Name

Samuel Pesner, O.D.

Title

President

Phone

(650) 948-3700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1184610941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 2ND ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222745",
            "telephone_number": "650-948-3700",
            "fax_number": "650-941-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 2ND ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222745",
            "telephone_number": "650-948-3700",
            "fax_number": "650-941-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ALTOS OPTOMETRIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "PESNER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-948-3700",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "05315T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Lopez, PHARM.D
• Loren Romley Lac
• Los Altos Dermatology, Inc
• Los Altos Eyecare - an Optometry Corporation
• Los Altos Family Smiles
• Los Altos Pharmacy Inc.
• Los Altos Psychiatric Medical Group, Inc.
• Los Altos Surgery Center LLC
• Annie Low, O.D.
• Wesley Low

• Optometrist in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.