Organization Active NPI

Dr Daniel a Paul OD Inc a Professional Corporation

  • Optometrist
  • Chino, CA
National Provider Identifier
1255658258
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8562 Issued in CA
Legal business name
DR DANIEL A PAUL OD INC A PROFESSIONAL CORPORATION
Practice address
12530 10TH St
Suite a
Chino, CA 91710-3520
Phone
(909) 627-7518
NPI assigned
Apr 29, 2010
Last updated
Nov 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Dr. Daniel A Paul, O.D.NPI 1699781682
Title
President
Phone
(909) 627-7518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 8562 CA Primary

Addresses

Primary practice location

12530 10TH St
Suite a
Chino, CA 91710-3520

Mailing address

12530 10TH St
Suite a
Chino, CA 91710-3520
Phone (909) 627-7518

National Provider Directory

National Provider Directory

Locations

12530 10th St
Chino, CA 91710
Phone (909) 627-7518

12530 10th St
Ste A
Chino, CA 91710
Phone (909) 627-7518

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1255658258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12530 10TH ST",
            "address_2": "SUITE A",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103520",
            "telephone_number": "909-627-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12530 10TH ST",
            "address_2": "SUITE A",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103520",
            "telephone_number": "909-627-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DANIEL A PAUL OD INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-627-7518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.