NPIMap

Organization Active NPI

Larry Simpfenderfer OD Inc

Doing business as Advanced Optometry

  • Optometrist
  • Lodi, CA
National Provider Identifier
1194031427
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT7804TPL Issued in CA
Legal business name
LARRY SIMPFENDERFER OD INC
Doing business as
Advanced Optometry
Practice address
1210 W Tokay St
Lodi, CA 95240-3810
Phone
(209) 334-2626
Fax
(209) 334-0710
NPI assigned
Aug 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Larry James Simpfenderfer, O.D.
Title
President
Phone
(209) 334-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT7804TPL CA Primary

Addresses

Primary practice location

1210 W Tokay St
Lodi, CA 95240-3810

Mailing address

1210 W Tokay St
Lodi, CA 95240-3810
Phone (209) 334-2626

Other names 1

  • ADVANCED OPTOMETRY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1194031427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 W TOKAY ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403810",
            "telephone_number": "209-334-2626",
            "fax_number": "209-334-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W TOKAY ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403810",
            "telephone_number": "209-334-2626",
            "fax_number": "209-334-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY SIMPFENDERFER OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "SIMPFENDERFER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-334-2626",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7804TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.