Organization Active NPI

Hemet Eye Care Center of Optometry

  • Optometrist
  • Hemet, CA
National Provider Identifier
1336313121
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HEMET EYE CARE CENTER OF OPTOMETRY
Practice address
999 E Morton PL
Hemet, CA 92543-4534
Phone
(951) 929-2746
Fax
(951) 925-7041
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Susan Martinez, O.D.
Title
Owner
Phone
(951) 929-2746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

999 E Morton PL
Hemet, CA 92543-4534

Mailing address

999 E Morton PL
Hemet, CA 92543-4534
Phone (951) 929-2746

Other identifiers 1

IdentifierTypeStateIssuer
GSD004570MedicaidCA

National Provider Directory

National Provider Directory

Locations

999 E Morton Pl
Hemet, CA 92543
Phone (951) 929-2746

999 E Morton Pl
Ste A
Hemet, CA 92543
Phone (951) 929-2746

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1336313121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 E MORTON PL",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434534",
            "telephone_number": "951-929-2746",
            "fax_number": "951-925-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 E MORTON PL",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434534",
            "telephone_number": "951-929-2746",
            "fax_number": "951-925-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMET EYE CARE CENTER OF OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-929-2746",
        "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": "GSD004570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.