Redlands Optometry Group Inc a Professional Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

11183T Issued in CA

Legal business name

REDLANDS OPTOMETRY GROUP INC A PROFESSIONAL OPTOMETRIC CORPORATION

Doing business as

Redlands Optometry Group

Practice address

1020 Nevada St
#202
Redlands, CA 92374-2956

Phone

(909) 793-2106

Fax

(909) 792-3246

NPI assigned

Feb 15, 2008

Last updated

Feb 5, 2014By 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

Dr. Darlene Kristine Matejkamcmorris, O.D.NPI 1568448140

Title

President

Phone

(909) 793-2106

Specialties & licenses 1

Addresses

Other names 1

• Redlands Optometry Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

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.

• Darlene Kristine Matejka McMorris, O.D.

  • Optometrist
  • Redlands, CA
  • NPI 1568448140
  Medicare reassignment NPD Authorized official
• Christine-Thuy Trinh Nguyen-Tran

  • Optometrist
  • Redlands, CA
  • NPI 1275286957
  NPD
• Evalin Zhao, OD

  • Optometrist
  • Bakersfield, CA
  • NPI 1518537950
  NPD
• Glorilyn Tamano Fletcher, O.D.

  • Optometrist
  • San Bernardino, CA
  • NPI 1437359940
  NPD (past)
• David Richard McGrew, M.D.

  • Ophthalmology Physician
  • Riverside, CA
  • NPI 1053337956
  NPD (past)
• Andrew Price, OD, MS

  • Optometrist
  • Moreno Valley, CA
  • NPI 1013649623
  NPD (past)
• Ja'Nai Xzana Tellis Frederick, O.D.

  • Optometrist
  • Chesterfield, VA
  • NPI 1265681332
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1467620062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 NEVADA ST",
            "address_2": "#202",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742956",
            "telephone_number": "909-793-2106",
            "fax_number": "909-792-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 NEVADA ST",
            "address_2": "#202",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742956",
            "telephone_number": "909-793-2106",
            "fax_number": "909-792-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDLANDS OPTOMETRY GROUP INC A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "MATEJKAMCMORRIS",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-793-2106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11183T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redlands Optometry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Redlands Endodontics
• Redlands Family Physicians Medical Associates, Inc.
• Redlands Family Practice Medical Group Inc. (Optum)
• Redlands Heritage Partners, LLC
• Redlands Hospice Care, Inc.
• Redlands Pathology Medical Group
• Redlands Pharmacy Inc (Redlands Pharmacy)
• Redlands Podiatry Group PC
• Redlands Prosthetic & Orthotic Group Inc
• Redlands Psychological Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.