Gloria E. Waite, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GLORIA E. WAITE, O.D.

Practice address

1773 San Pablo Ave., #A1
Pinole, CA 94564-2013

Phone

(510) 724-6520

Fax

(510) 724-7094

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gloria E. Waite, O.D.

Title

Owner

Phone

(510) 724-6520

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1295918472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 SAN PABLO AVE., #A1",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642013",
            "telephone_number": "510-724-6520",
            "fax_number": "510-724-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 SAN PABLO AVE., #A1",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642013",
            "telephone_number": "510-724-6520",
            "fax_number": "510-724-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA E. WAITE, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-724-6520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0047820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alaina Gong, PHARMD

• Optometrist in Pinole, CA
• Providers in Pinole, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.