Carlton Chan OD an Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

9520 Issued in CA

Legal business name

CARLTON CHAN OD AN OPTOMETRIC CORPORATION

Doing business as

Del Mar Eye Care

Practice address

665 San Rodolfo Dr
Ste 119
Solana Beach, CA 92075-2047

Phone

(858) 755-5503

NPI assigned

Jul 15, 2013

Last updated

Jul 15, 2013By 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

Carlton Chan, O.D.NPI 1659367811

Title

Owner

Phone

(858) 755-5503

Specialties & licenses 1

Addresses

Other names 1

• Del Mar Eye Care 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.

• Carlton Chan, O.D.

  • Optometrist
  • Solana Beach, CA
  • NPI 1659367811
  Authorized official Same address or phone

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1437590767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 SAN RODOLFO DR",
            "address_2": "STE 119",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 SAN RODOLFO DR",
            "address_2": "STE 119",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752047",
            "telephone_number": "858-755-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLTON CHAN OD AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-755-5503",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Del Mar Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlyn Alaine Cadwell, MS
• Alexyss Capestany, DNP
• Andrew Capobianco
• Kira Wong Capozzolo, DC
• Michael Charles Carey, D.C.
• Caroline McClemons (Peak Physical THerapy)
• Kristen Anne Carpowich, N.P.
• Carter Medical Corporation
• Center for Diabetes and Mental Health
• Anthony K Chadwell, HHP

• Optometrist in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.