Organization Active NPI

Urban Optiks Optometry, Inc

Doing business as Urban Optiks Optometry

  • Optometrist
  • San Diego, CA
National Provider Identifier
1477315711
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
URBAN OPTIKS OPTOMETRY, INC
Doing business as
Urban Optiks Optometry
Practice address
3788 Park Blvd Ste 5
San Diego, CA 92103-0912
Phone
(619) 683-2020
Fax
(619) 683-2111
NPI assigned
Jan 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Dr. Gary A Klein, ODNPI 1043489081
Title
President
Phone
(619) 683-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3788 Park Blvd Ste 5
San Diego, CA 92103-0912

Mailing address

3788 Park Blvd Ste 5
San Diego, CA 92103-0912
Phone (619) 683-2020

Other names 1

  • Urban Optiks Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

3788 Park Blvd
Ste 5
San Diego, CA 92103
Phone (619) 683-2020

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1477315711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3788 PARK BLVD STE 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921030912",
            "telephone_number": "619-683-2020",
            "fax_number": "619-683-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3788 PARK BLVD STE 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921030912",
            "telephone_number": "619-683-2020",
            "fax_number": "619-683-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN OPTIKS OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-683-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urban Optiks Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 23, 2024; 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.