John E Bokosky MD Facs Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

JOHN E BOKOSKY MD FACS INC

Practice address

3939 3Rd Ave
San Diego, CA 92103-3002

Phone

(619) 296-8525

Fax

(619) 692-0229

NPI assigned

Dec 29, 2005

Organization subpart

No

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

Authorized official

Name

John E Bokosky, MD

Title

Owner

Phone

(619) 243-0629

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eyecare of San Diego Doing business as

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1366429441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033002",
            "telephone_number": "619-296-8525",
            "fax_number": "619-692-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033002",
            "telephone_number": "619-296-8525",
            "fax_number": "619-692-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E BOKOSKY MD FACS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "BOKOSKY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-243-0629",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0092690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare of San Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• John E Bokosky MD Facs Inc
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• John G Lane MD Inc
• John G Lane, M.D. Inc

• Ophthalmology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.