Active NPI
Iole L. Taddei, O.D.
- Optometrist
- Corte Madera, CA
National Provider Identifier
1215233523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6363
- Practice address
- 45 San Clemente Drive
Suite B130
Corte Madera, CA 94925 - Phone
- (415) 927-1211
- Fax
- (415) 927-1811
- NPI assigned
- Feb 3, 2011
- Last updated
- Feb 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 6363 | CA | Primary |
Addresses
Primary practice location
45 San Clemente Drive
Suite B130
Corte Madera, CA 94925
Mailing address
45 San Clemente Drive
Suite B130
Corte Madera, CA 94925
Phone (415) 927-1211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6363 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1215233523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 SAN CLEMENTE DRIVE",
"address_2": "SUITE B130",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "94925",
"telephone_number": "415-927-1211",
"fax_number": "415-927-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 SAN CLEMENTE DRIVE",
"address_2": "SUITE B130",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "94925",
"telephone_number": "415-927-1211",
"fax_number": "415-927-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADDEI",
"first_name": "IOLE",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-03",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "6363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.