Organization Active NPI

R. David Jones, O.D.

Doing business as Empire Optometry

  • Optometrist
  • Santa Rosa, CA
National Provider Identifier
1376771808
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5543T Issued in CA
Legal business name
R. DAVID JONES, O.D.
Doing business as
Empire Optometry
Practice address
800 4TH St
Santa Rosa, CA 95404-4505
Phone
(707) 542-1554
Fax
(707) 542-1252
NPI assigned
Jun 23, 2009
Last updated
Jun 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Cheryl B Bernhardt
Title
Office Manager
Phone
(707) 542-1554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5543T CA Primary

Addresses

Primary practice location

800 4TH St
Santa Rosa, CA 95404-4505

Mailing address

800 4TH St
Santa Rosa, CA 95404-4505
Phone (707) 542-1554

Other names 1

  • Empire Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

800 4th St
Santa Rosa, CA 95404
Phone (707) 542-1554

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1376771808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 4TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044505",
            "telephone_number": "707-542-1554",
            "fax_number": "707-542-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 4TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044505",
            "telephone_number": "707-542-1554",
            "fax_number": "707-542-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. DAVID JONES, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "BERNHARDT",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "707-542-1554"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5543T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empire Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 23, 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.