NPIMap

Organization Active NPI

Manell & Cooper Optometrist

  • Optometrist
  • Escondido, CA
National Provider Identifier
1336324185
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10476 Issued in CA
Legal business name
MANELL & COOPER OPTOMETRIST
Doing business as
Manell & Cooper Optometrist
Practice address
251 E 4TH Ave
Escondido, CA 92025-4901
Phone
(760) 745-5412
Fax
(760) 745-2752
NPI assigned
Dec 28, 2007
Last updated
Aug 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Shirley Oney
Title
Office Manager
Phone
(760) 745-5412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10476 CA Primary

Addresses

Primary practice location

251 E 4TH Ave
Escondido, CA 92025-4901

Mailing address

251 E 4TH Ave
Escondido, CA 92025-4901
Phone (760) 745-5412

Other identifiers 1

IdentifierTypeStateIssuer
GDS001100MedicaidCA

Other names 1

  • Manell & Cooper Optometrist Doing business as

National Provider Directory

National Provider Directory

Locations

251 E 4th Ave
Escondido, CA 92025
Phone (760) 738-9985

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1336324185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E 4TH AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254901",
            "telephone_number": "760-745-5412",
            "fax_number": "760-745-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E 4TH AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254901",
            "telephone_number": "760-745-5412",
            "fax_number": "760-745-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANELL & COOPER OPTOMETRIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "ONEY",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-745-5412"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GDS001100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manell & Cooper Optometrist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.