NPIMap

Organization Active NPI

Eyecare Galleria Optometry

  • Optometrist
  • Brentwood, CA
National Provider Identifier
1508040916
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12123T Issued in CA
Legal business name
EYECARE GALLERIA OPTOMETRY
Practice address
2300 Sand Creek Rd Ste G2
Brentwood, CA 94513-5651
Phone
(925) 240-8520
Fax
(925) 240-8546
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Dr. Ingrid Augusta Farinas, O.D.
Title
Owner
Phone
(925) 240-8520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12123T CA Primary

Addresses

Primary practice location

2300 Sand Creek Rd Ste G2
Brentwood, CA 94513-5651

Mailing address

2300 Sand Creek Rd Ste G2
Brentwood, CA 94513-5651
Phone (925) 240-8520

Other names 1

  • eyecare galleria optometry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eyecare Galleria Optometry3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2300 Sand Creek Rd
Ste G2
Brentwood, CA 94513
Phone (925) 240-8520

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": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1508040916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SAND CREEK RD STE G2",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135651",
            "telephone_number": "925-240-8520",
            "fax_number": "925-240-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SAND CREEK RD STE G2",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135651",
            "telephone_number": "925-240-8520",
            "fax_number": "925-240-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE GALLERIA OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "FARINAS",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "AUGUSTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-240-8520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12123T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eyecare galleria optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.