NPIMap

Organization Active NPI

Eyecare One

  • Preferred Provider Organization
  • San Dimas, CA
National Provider Identifier
1538463450
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
OPT 9068 TPA Issued in CA
Legal business name
EYECARE ONE
Practice address
963 W Arrow Hwy
San Dimas, CA 91773-2410
Phone
(909) 592-5666
Fax
(909) 394-3334
NPI assigned
Jan 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Grant A. Paul, O.D.NPI 1437225026
Title
Owner
Phone
(909) 592-5666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X OPT 9068 TPA CA Primary

Addresses

Primary practice location

963 W Arrow Hwy
San Dimas, CA 91773-2410

Mailing address

963 W Arrow Hwy
San Dimas, CA 91773-2410
Phone (909) 592-5666

National Provider Directory

National Provider Directory

Locations

963 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 592-5666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1538463450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 W ARROW HWY",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732410",
            "telephone_number": "909-592-5666",
            "fax_number": "909-394-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 W ARROW HWY",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732410",
            "telephone_number": "909-592-5666",
            "fax_number": "909-394-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE ONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-592-5666",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "OPT 9068 TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.