Nelson & Endicott an Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

6093T Issued in CA

Legal business name

NELSON & ENDICOTT AN OPTOMETRIC CORPORATION

Practice address

15909 Main St
La Puente, CA 91744-4720

Phone

(626) 961-0877

Fax

(909) 468-4603

NPI assigned

Jan 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John C Nelson, O.D.

Title

Owner

Phone

(626) 961-0877

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1538130158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15909 MAIN ST",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917444720",
            "telephone_number": "626-961-0877",
            "fax_number": "909-468-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15909 MAIN ST",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917444720",
            "telephone_number": "626-961-0877",
            "fax_number": "909-468-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON & ENDICOTT AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-961-0877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6093T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD001241",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana-Marisol Najera-Lin, DPT,PT,CSCS
• Atil Narayan, L.AC.
• Natural Wonders Healthcare
• Ma Glaiza P Navarro
• Nelly a Parayno DMD Inc
• John C Nelson, O.D.
• Debra Nevarez, RN
• Seran NG, DMD
• Elysia K Ngo
• Anthony M. Nguyen, D.D.S.

• Optometrist in La Puente, CA
• Providers in La Puente, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.