Organization Active NPI

Jeffrey H Gold OD

  • Optometrist
  • San Diego, CA
National Provider Identifier
1508139072
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT8975T Issued in CA
Legal business name
JEFFREY H GOLD OD
Practice address
5450 Clairemont Mesa Blvd
Ste D
San Diego, CA 92117-2346
Phone
(858) 292-1700
Fax
(858) 292-1986
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Dr. Jeffrey Howard Gold, OD
Title
Owner
Phone
(858) 292-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT8975T CA Primary

Addresses

Primary practice location

5450 Clairemont Mesa Blvd
Ste D
San Diego, CA 92117-2346

Mailing address

5450 Clairemont Mesa Blvd
Ste D
San Diego, CA 92117-2346
Phone (858) 292-1700

National Provider Directory

National Provider Directory

Locations

5450 Clairemont Mesa Blvd
Ste D
San Diego, CA 92117
Phone (858) 292-1700

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1508139072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 CLAIREMONT MESA BLVD",
            "address_2": "STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172346",
            "telephone_number": "858-292-1700",
            "fax_number": "858-292-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 CLAIREMONT MESA BLVD",
            "address_2": "STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172346",
            "telephone_number": "858-292-1700",
            "fax_number": "858-292-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY H GOLD OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-292-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8975T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 19, 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.