Organization Active NPI

Site for Sore Eyes

  • Optician
  • Capitola, CA
National Provider Identifier
1194844837
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
D7055 Issued in CA
Legal business name
SITE FOR SORE EYES
Practice address
3555 Clares St
Ste H
Capitola, CA 95010-2555
Phone
(831) 477-4900
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Alex Salman
Title
Owner
Phone
(831) 477-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X D7055 CA Primary

Addresses

Primary practice location

3555 Clares St
Ste H
Capitola, CA 95010-2555

Mailing address

3555 Clares St
Ste H
Capitola, CA 95010-2555

Other names 1

  • pacific optical Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1194844837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 CLARES ST",
            "address_2": "STE H",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 CLARES ST",
            "address_2": "STE H",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102555",
            "telephone_number": "831-477-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SITE FOR SORE EYES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "SALMAN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-477-4900"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "D7055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pacific optical",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.