Gerald Coley I

Primary specialty

OpticianTaxonomy code 156FX1800X

License

D2597 Issued in CA

Practice address

11175 Mt. View Ave.,University Optical
Suite F
Loma Linda, CA 92354-3807

Phone

(909) 796-8000

Fax

(909) 796-8004

NPI assigned

Jul 8, 2014

Last updated

Jul 8, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1235545435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 MT. VIEW, SUITE F",
            "address_2": "UNIVERSITY OPTICAL",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543807",
            "telephone_number": "909-796-8000",
            "fax_number": "909-796-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11175 MT. VIEW AVE.,UNIVERSITY OPTICAL",
            "address_2": "SUITE F",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543807",
            "telephone_number": "909-796-8000",
            "fax_number": "909-796-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEY",
        "first_name": "GERALD",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "D2597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmin Maria del Carmen Cole, M.D.
• Jerryper Colegado
• Daniel Joseph Colella, M.S. R.D.
• Cherlyn Ruth Coleman, MDIV
• Ron E Coleman II, P.T.
• Kenneth Tonic Collado, MD
• Nathaniel Jon Colletti, RN
• Veronica Colletti
• Estelle Collins
• Keith C. Collins

• Optician in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.