NPIMap

Organization Active NPI

Amaal Odish OD Inc

Doing business as Advanced Vision Care

  • Optometrist
  • El Cajon, CA
National Provider Identifier
1326019027
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11379TPA Issued in CA
Legal business name
AMAAL ODISH OD INC
Doing business as
Advanced Vision Care
Practice address
844 E Washington Ave
El Cajon, CA 92020
Phone
(619) 447-1139
Fax
(619) 447-6239
NPI assigned
Jan 30, 2006
Last updated
May 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Authorized official

Name
Mrs. Amaal Odish, ODNPI 1295751642
Title
Ceo Doctor of Optometry
Phone
(619) 447-1139

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
Optometrist 152W00000X 11379TPA CA Primary

Addresses

Primary practice location

844 E Washington Ave
El Cajon, CA 92020

Mailing address

844 East Washington Ave
El Cajon, CA 92020
Phone (619) 447-1139

Other identifiers 2

IdentifierTypeStateIssuer
CA1379OtherCAEYEMED
SD0113790MedicaidCA

Other names 1

  • Advanced Vision Care Doing business as

National Provider Directory

National Provider Directory

Locations

792 E Washington Ave
El Cajon, CA 92020
Phone (619) 447-1139

844 E Washington Ave
El Cajon, CA 92020
Phone (619) 447-1139

12265 Scripps Poway Pkwy
Ste 102
Poway, CA 92064
Phone (858) 842-1799

Practitioners & affiliated clinicians

Practitioners 3

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": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1326019027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 EAST WASHINGTON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92020",
            "telephone_number": "619-447-1139",
            "fax_number": "619-447-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 E WASHINGTON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92020",
            "telephone_number": "619-447-1139",
            "fax_number": "619-447-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAAL ODISH OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "ODISH",
        "authorized_official_first_name": "AMAAL",
        "authorized_official_title_or_position": "CEO DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "619-447-1139",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11379TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "CA1379",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0113790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.