Organization Active NPI

Family Eye Care of Indian Wells

  • Optometrist
  • Indian Wells, CA
National Provider Identifier
1487904868
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FAMILY EYE CARE OF INDIAN WELLS
Practice address
74785 US Highway 111
#207
Indian Wells, CA 92210-7107
Phone
(760) 340-5292
Fax
(760) 773-5082
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Dr. Gordon F Bateman, O.D.
Title
Owner
Phone
(760) 340-5292

Specialties & licenses 1

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

Addresses

Primary practice location

74785 US Highway 111
#207
Indian Wells, CA 92210-7107

Mailing address

74785 US Highway 111
#207
Indian Wells, CA 92210-7107
Phone (760) 340-5292

National Provider Directory

National Provider Directory

Locations

74785 US Highway 111
Ste 207
Indian Wells, CA 92210
Phone (760) 340-5292

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1487904868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74785 US HIGHWAY 111",
            "address_2": "#207",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107107",
            "telephone_number": "760-340-5292",
            "fax_number": "760-773-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74785 US HIGHWAY 111",
            "address_2": "#207",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107107",
            "telephone_number": "760-340-5292",
            "fax_number": "760-773-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CARE OF INDIAN WELLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "BATEMAN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-340-5292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Wells, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.