Organization Active NPI

Stephen a. Luskin Optometric Corporation

  • Optometrist
  • San Diego, CA
National Provider Identifier
1457618290
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
69957 Issued in CA
Legal business name
STEPHEN A. LUSKIN OPTOMETRIC CORPORATION
Practice address
1259 Emerald St.
San Diego, CA 92109-2932
Phone
(619) 246-4505
Fax
(858) 272-0575
NPI assigned
Apr 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Dr. Stephen Arnold Luskin, O.D
Title
Optometrist
Phone
(619) 246-4505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 69957 CA Primary

Addresses

Primary practice location

1259 Emerald St.
San Diego, CA 92109-2932

Mailing address

1259 Emerald St.
San Diego, CA 92109-2932
Phone (619) 246-4505

National Provider Directory

National Provider Directory

Locations

1018 Grand Ave
San Diego, CA 92109
Phone (858) 272-6843

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1457618290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 EMERALD ST.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092932",
            "telephone_number": "619-246-4505",
            "fax_number": "858-272-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 EMERALD ST.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092932",
            "telephone_number": "619-246-4505",
            "fax_number": "858-272-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A. LUSKIN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "LUSKIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "619-246-4505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "69957",
            "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 Apr 18, 2012; 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.