Organization Active NPI

Summerfield Opticians

  • Optician
  • Santa Rosa, CA
National Provider Identifier
1366604548
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
G27860 Issued in CA
Legal business name
SUMMERFIELD OPTICIANS
Practice address
4739 Hoen Ave
Santa Rosa, CA 95405-7862
Phone
(707) 579-8093
Fax
(707) 544-2734
NPI assigned
Jun 27, 2008
Organization subpart
Yes
Parent organization
BRIEN A. SEELEY, M. D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Dr. Brien A. Seeley, MD
Title
Owner
Phone
(707) 579-8093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X G27860 CA Primary

Addresses

Primary practice location

4739 Hoen Ave
Santa Rosa, CA 95405-7862

Mailing address

4739 Hoen Ave
Santa Rosa, CA 95405-7862
Phone (707) 579-8093

National Provider Directory

National Provider Directory
Part of
Brien a Seeley MD Inc

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1366604548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4739 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057862",
            "telephone_number": "707-579-8093",
            "fax_number": "707-544-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4739 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057862",
            "telephone_number": "707-579-8093",
            "fax_number": "707-544-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERFIELD OPTICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIEN A. SEELEY, M. D.",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "SEELEY",
        "authorized_official_first_name": "BRIEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-579-8093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "G27860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.