NPIMap

Organization Active NPI

Dr. Skinner Optometry P.C.

  • Clinic/Center
  • Fontana, CA
National Provider Identifier
1326302316
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
9363T Issued in CA
Legal business name
DR. SKINNER OPTOMETRY P.C.
Practice address
8275 Sierra Ave
Suite 103
Fontana, CA 92335-3557
Phone
(909) 822-1115
Fax
(909) 822-6346
NPI assigned
Jun 25, 2012
Last updated
Jun 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Dr. Mark Lowrey Skinner, O.D.NPI 1952339145
Title
Ceo
Phone
(909) 822-1115

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
Clinic/Center 261Q00000X 9363T CA Primary

Addresses

Primary practice location

8275 Sierra Ave
Suite 103
Fontana, CA 92335-3557

Mailing address

PO Box 2200
Fontana, CA 92334-2200
Phone (909) 822-1115

National Provider Directory

National Provider Directory

Locations

8275 Sierra Ave
Ste 103
Fontana, CA 92335
Phone (909) 822-1115

Practitioners & affiliated clinicians

Practitioners 5

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": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1326302316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2200",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923342200",
            "telephone_number": "909-822-1115",
            "fax_number": "909-822-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8275 SIERRA AVE",
            "address_2": "SUITE 103",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353557",
            "telephone_number": "909-822-1115",
            "fax_number": "909-822-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SKINNER OPTOMETRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LOWREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-822-1115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "9363T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.