David a. Dortch,O.D. a California Professional Optemetric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT10758 Issued in CA

Legal business name

DAVID A. DORTCH,O.D. A CALIFORNIA PROFESSIONAL OPTEMETRIC CORPORATION

Practice address

39252 Winchester Road
Ste 127
Murrieta, CA 92563-3511

Phone

(951) 600-9226

Fax

(866) 268-5876

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

David A Dortch, ODNPI 1497786156

Title

Optometrist

Phone

(951) 600-9226

Specialties & licenses 1

Addresses

Locations

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.

• David A Dortch, OD

  • Optometrist
  • Murrieta, CA
  • NPI 1497786156
  Authorized official Same address or phone

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1396829073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39252 WINCHESTER ROAD",
            "address_2": "STE 127",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633511",
            "telephone_number": "951-600-9226",
            "fax_number": "866-268-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39252 WINCHESTER ROAD",
            "address_2": "STE 127",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633511",
            "telephone_number": "951-600-9226",
            "fax_number": "866-268-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. DORTCH,O.D. A CALIFORNIA PROFESSIONAL OPTEMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "DORTCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "951-600-9226",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT10758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.