Jared Hagan Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT14385TLG Issued in CA

Legal business name

JARED HAGAN OPTOMETRY

Doing business as

Fashion Valley Optometry

Practice address

5929 Mildred St
San Diego, CA 92110-1422

Phone

(858) 876-7456

Fax

(888) 723-8436

NPI assigned

Feb 25, 2014

Last updated

Feb 25, 2014By 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

Dr. Jared Hagan, O.D.NPI 1881929966

Title

Optometrist

Phone

(858) 876-7456

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fashion Valley Optometry Doing business as

Practitioners 1

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.

• Jared Hagan, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1881929966
  NPD (past) Authorized official

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1396160479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 FRIARS RD STE 667A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081148",
            "telephone_number": "858-876-7456",
            "fax_number": "888-723-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 MILDRED ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921101422",
            "telephone_number": "858-876-7456",
            "fax_number": "888-723-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED HAGAN OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "858-876-7456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT14385TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA OPTOMETRY LICENSE",
            "identifier": "OPT14385TLG",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fashion Valley Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Jardel, M.A. CCC-A
• Brittany Jardine
• Robert Angelo Jardiniano
• Gloria I Jardon, LMFT
• Jared Bunker DMD Apc (Carmel Mountain Dentistry)
• Leroy Richard Jaret, M.D.
• Taylor Colette Jarnagin
• Jonathan Jaro, PT
• Jaronda Session Licensed Clinical Social Worker Inc (COCOA Cup Therapy Inc)
• Daniel Rafal Jarosz

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.