Dr. Thomas Aller Optometrist, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7684T Issued in CA

Legal business name

DR. THOMAS ALLER OPTOMETRIST, INC.

Practice address

648 Jenevein Ave
San Bruno, CA 94066-4230

Phone

(650) 871-1816

Fax

(650) 871-0164

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Aller, O.D.

Title

President

Phone

(650) 871-1816

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1457533168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 JENEVEIN AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664230",
            "telephone_number": "650-871-1816",
            "fax_number": "650-871-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 JENEVEIN AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664230",
            "telephone_number": "650-871-1816",
            "fax_number": "650-871-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. THOMAS ALLER OPTOMETRIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "ALLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-871-1816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7684T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.