Alvarado Eye Associates Med Clinic Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G063727 Issued in CA

Legal business name

ALVARADO EYE ASSOCIATES MED CLINIC INC.

Practice address

801 Orange Ave
Suite 204
Coronado, CA 92118-2663

Phone

(619) 437-4406

NPI assigned

May 6, 2008

Last updated

Apr 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glenn B Cook, MD

Title

Owner

Phone

(619) 286-3712

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1275709503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7877 PARKWAY DR",
            "address_2": "SUITE 100",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422000",
            "telephone_number": "619-286-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ORANGE AVE",
            "address_2": "SUITE 204",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182663",
            "telephone_number": "619-437-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVARADO EYE ASSOCIATES MED CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-286-3712",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G063727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0802380003",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0078470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Ackerman, PHARMD
• Nancy Adam, M.D.
• Robert W. Adams, M.D.
• Elise Agrella, LCSW
• Alexander Phillips DDS Inc
• Amali
• Kathryn Jane Anderson, PSY.D
• Richard Leland Anderson, PHARMACIST
• Anoop Sangha PC
• Vasiliki M Anvari, M.D.

• Ophthalmology Physician in Coronado, CA
• Providers in Coronado, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.