Organization Active NPI

John E Bokosky MD Facs Inc

Doing business as Eyecare of San Diego

  • Eyewear Supplier
  • San Diego, CA
National Provider Identifier
1245498401
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
G51651 Issued in CA
Legal business name
JOHN E BOKOSKY MD FACS INC
Doing business as
Eyecare of San Diego
Practice address
3939 3Rd Ave
San Diego, CA 92103-3002
Phone
(619) 296-8525
Fax
(619) 692-0229
NPI assigned
May 23, 2008
Last updated
May 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
John E Bokosky, MD
Title
Owner
Phone
(619) 296-8525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X G51651 CA Primary

Addresses

Primary practice location

3939 3Rd Ave
San Diego, CA 92103-3002

Mailing address

3939 3Rd Ave
San Diego, CA 92103-3002
Phone (619) 296-8525

Other names 1

  • Eyecare of San Diego Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eyecare of San Diego2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1245498401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033002",
            "telephone_number": "619-296-8525",
            "fax_number": "619-692-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033002",
            "telephone_number": "619-296-8525",
            "fax_number": "619-692-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E BOKOSKY MD FACS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "BOKOSKY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-296-8525",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "G51651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare of San Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.