NPIMap

William a. Downey O.D. Inc

Organization Active NPI Optometrist · South Lake Tahoe, CA

NPI 1285779397 · NPPES record last updated Sep 14, 2007

Key facts

NPI
1285779397
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
License
CA0062010 (CA)
Legal business name
WILLIAM A. DOWNEY O.D. INC
Practice address
3637 Larch Ave
Suite 2
South Lake Tahoe, CA 96150-8448
Phone
(530) 544-3403
Fax
(530) 544-4032
NPI assigned
Feb 20, 2007
Organization subpart
No

Authorized official

Name
Dr. Melody Orene Quenzer, OD NPI 1679658843
Title
Optometrist
Phone
(530) 544-3403

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP		 152W00000X CA0062010 CA Yes

Addresses

Primary practice location

3637 Larch Ave
Suite 2
South Lake Tahoe, CA 96150-8448

Mailing address

3637 Larch Ave
Suite 2
South Lake Tahoe, CA 96150-8448
Phone (530) 544-3403

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 14, 2007.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1285779397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 LARCH AVE",
            "address_2": "SUITE 2",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961508448",
            "telephone_number": "530-544-3403",
            "fax_number": "530-544-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 LARCH AVE",
            "address_2": "SUITE 2",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961508448",
            "telephone_number": "530-544-3403",
            "fax_number": "530-544-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A. DOWNEY O.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "QUENZER",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "ORENE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "530-544-3403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA0062010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

All providers in South Lake Tahoe, CA · Optometrist in California

Sources for this page

Verify at the official NPI Registry.