Organization Active NPI

W Joseph Garvin OD Optometric Corporation

  • Corneal and Contact Management Optometrist
  • Escondido, CA
National Provider Identifier
1467754903
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPT6664TPL Issued in CA
Legal business name
W JOSEPH GARVIN OD OPTOMETRIC CORPORATION
Practice address
147 E Grand Ave
Escondido, CA 92025-2701
Phone
(760) 743-2020
Fax
(760) 743-2517
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Joseph Garvin, OD
Title
Owner
Phone
(760) 743-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X OPT6664TPL CA Primary

Addresses

Primary practice location

147 E Grand Ave
Escondido, CA 92025-2701

Mailing address

147 E Grand Ave
Escondido, CA 92025-2701
Phone (760) 743-2020

Other identifiers 1

IdentifierTypeStateIssuer
7108719MedicaidCA

National Provider Directory

National Provider Directory

Locations

147 E Grand Ave
Escondido, CA 92025
Phone (760) 743-2020

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1467754903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 E GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252701",
            "telephone_number": "760-743-2020",
            "fax_number": "760-743-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 E GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252701",
            "telephone_number": "760-743-2020",
            "fax_number": "760-743-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W JOSEPH GARVIN OD OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "GARVIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-743-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "OPT6664TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7108719",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.