NPIMap

Organization Active NPI

Island Eyecare

  • Optometrist
  • Alameda, CA
National Provider Identifier
1366670689
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6573T Issued in CA
Legal business name
ISLAND EYECARE
Practice address
1429 High Street
Alameda, CA 94501
Phone
(510) 522-5097
Fax
(510) 522-0815
NPI assigned
Jun 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Authorized official

Name
Dr. Charlotte A Tlachac, O.D.
Title
Owner
Phone
(510) 522-5097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6573T CA Primary

Addresses

Primary practice location

1429 High Street
Alameda, CA 94501

Mailing address

1429 High St
Alameda, CA 94501-3102
Phone (510) 522-5097

Other names 1

  • Charlotte A. Tlachac O.D. Other name

National Provider Directory

National Provider Directory

Locations

1429 High St
Alameda, CA 94501
Phone (510) 522-5097

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1366670689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 HIGH ST",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013102",
            "telephone_number": "510-522-5097",
            "fax_number": "510-522-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 HIGH STREET",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "94501",
            "telephone_number": "510-522-5097",
            "fax_number": "510-522-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "TLACHAC",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-522-5097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6573T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlotte A. Tlachac O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.