NPIMap

Organization Active NPI

Mira Mesa Optometry, Inc

  • Optometrist
  • San Diego, CA
National Provider Identifier
1265895221
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9901 Issued in CA
Legal business name
MIRA MESA OPTOMETRY, INC
Practice address
8230 Mira Mesa Blvd Ste B
San Diego, CA 92126-2625
Phone
(858) 566-6670
Fax
(858) 566-5152
NPI assigned
Mar 29, 2016
Last updated
Mar 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Dr. Orlando GuiangNPI 1063404515
Title
Owner/President
Phone
(858) 566-6670

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 9901 CA Primary

Addresses

Primary practice location

8230 Mira Mesa Blvd Ste B
San Diego, CA 92126-2625

Mailing address

8230 Mira Mesa Blvd Ste B
San Diego, CA 92126-2625
Phone (858) 566-6670

National Provider Directory

National Provider Directory

Locations

8230 Mira Mesa Blvd
Ste B
San Diego, CA 92126
Phone (858) 566-6670

Practitioners & affiliated clinicians

Practitioners 10

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": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1265895221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 MIRA MESA BLVD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262625",
            "telephone_number": "858-566-6670",
            "fax_number": "858-566-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 MIRA MESA BLVD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262625",
            "telephone_number": "858-566-6670",
            "fax_number": "858-566-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRA MESA OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "GUIANG",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "858-566-6670",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 29, 2016; 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.