Adr Optometric Group

Primary specialty

OptometristTaxonomy code 152W00000X

License

10743T Issued in CA

Legal business name

ADR OPTOMETRIC GROUP

Practice address

7886 E Coast Hwy
Newport Beach, CA 92657-2138

Phone

(949) 715-4300

NPI assigned

Oct 14, 2010

Last updated

Oct 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Allen Austin, O.D.

Title

Optometrist

Phone

(949) 715-4300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1386954071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7886 E COAST HWY",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926572138",
            "telephone_number": "949-715-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7886 E COAST HWY",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926572138",
            "telephone_number": "949-715-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADR OPTOMETRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "949-715-4300",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10743T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Newport Beach, CA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.