Family Optometry Group

Primary specialty

OptometristTaxonomy code 152W00000X

License

10886T Issued in CA

Legal business name

FAMILY OPTOMETRY GROUP

Practice address

4976 Verdugo Way
Camarillo, CA 93012-8632

Phone

(805) 482-4628

Fax

(805) 482-4620

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Brian Freeland, O.D.NPI 1316022692

Title

Owner

Phone

(805) 482-4628

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Brian Freeland, O.D.

  • Optometrist
  • Camarillo, CA
  • NPI 1316022692
  NPD (past) Authorized official
• Dallin Jayson Dhuart, OD

  • Optometrist
  • Camarillo, CA
  • NPI 1730072802
  NPD (past)
• Michael Ross, O.D.

  • Optometrist
  • Ventura, CA
  • NPI 1932145596
  NPD (past)

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1356535538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 VERDUGO WAY",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128632",
            "telephone_number": "805-482-4628",
            "fax_number": "805-482-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4976 VERDUGO WAY",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128632",
            "telephone_number": "805-482-4628",
            "fax_number": "805-482-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY OPTOMETRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "FREELAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-482-4628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10886T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0108860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Fabela
• Sahba Fahandezh
• Mina Fahmy Fahmy, PHARMD
• Ray Jason Fajardo, MS, PA-C
• Edgardo A Falcon, M.D.
• Farid Sehati DDS Inc.
• Timothy Farrington
• Nathan Charles Fassnacht
• Danielle Fatemi, RDN
• Gita Fatemi, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.