NPIMap

Organization Active NPI

Golden Triangle Optometrics

  • Optometrist
  • Murrieta, CA
National Provider Identifier
1215062906
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7468T Issued in CA
Legal business name
GOLDEN TRIANGLE OPTOMETRICS
Practice address
25460 Medical Center Dr
Ste. 103
Murrieta, CA 92562-5985
Phone
(951) 698-4575
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Mrs. Jan Geller
Title
Director
Phone
(951) 698-4575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7468T CA Primary

Addresses

Primary practice location

25460 Medical Center Dr
Ste. 103
Murrieta, CA 92562-5985

Mailing address

25460 Medical Center Dr
Ste. 103
Murrieta, CA 92562-5985
Phone (951) 698-4575

Other identifiers 1

IdentifierTypeStateIssuer
SD0074680OtherCAPERSONAL ID NUMBER

Other names 1

  • Jonathan Geller, O.D. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1215062906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25460 MEDICAL CENTER DR",
            "address_2": "STE. 103",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625985",
            "telephone_number": "951-698-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25460 MEDICAL CENTER DR",
            "address_2": "STE. 103",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625985",
            "telephone_number": "951-698-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TRIANGLE OPTOMETRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "GELLER",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-698-4575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7468T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL ID NUMBER",
            "identifier": "SD0074680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonathan Geller, O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

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