Organization Active NPI

Deborah Prince O D an Optometric Corporation

  • Clinic/Center
  • San Diego, CA
National Provider Identifier
1417260506
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
12242TPA Issued in CA
Legal business name
DEBORAH PRINCE O D AN OPTOMETRIC CORPORATION
Practice address
3150 Rosecrans PL
Suite 200
San Diego, CA 92110-4823
Phone
(619) 224-2973
NPI assigned
Jul 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. Deborah L Prince, OD
Title
President/Optometrist
Phone
(619) 224-2973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 12242TPA CA Primary

Addresses

Primary practice location

3150 Rosecrans PL
Suite 200
San Diego, CA 92110-4823

Mailing address

3150 Rosecrans PL
Suite 200
San Diego, CA 92110-4823

National Provider Directory

National Provider Directory

Locations

3150 Rosecrans Pl
#200
San Diego, CA 92110
Phone (619) 224-2973

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1417260506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 ROSECRANS PL",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ROSECRANS PL",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104823",
            "telephone_number": "619-224-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH PRINCE O D AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "619-224-2973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "12242TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.