Active NPI
Eric Verret, OD
- Optometrist
- Escondido, CA
National Provider Identifier
1194891853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11401T
- Practice address
- 613 E Grand Ave
Escondido, CA 92025-4402 - Phone
- (760) 747-7979
- Fax
- (760) 747-7799
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11401T | CA | Primary |
Addresses
Primary practice location
613 E Grand Ave
Escondido, CA 92025-4402
Mailing address
613 E Grand Ave
Escondido, CA 92025-4402
Phone (760) 747-7979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0114010 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11401T | CA | MD | Optometrist |
| 11401 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric Verret O.D., Inc | Current | Accepting new patients | |
| Pomona Valley Optometry Inc | Optometrist | Past | Accepting new patients |
Locations
613 E Grand Ave
Escondido, CA 92025
Phone (760) 743-4616
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- Escondido, CA
- NPI 1891259123
-
- Optometrist
- Pomona, CA
- NPI 1316911100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1194891853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 E GRAND AVE",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254402",
"telephone_number": "760-747-7979",
"fax_number": "760-747-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 E GRAND AVE",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254402",
"telephone_number": "760-747-7979",
"fax_number": "760-747-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERRET",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11401T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0114010",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.