Active NPI
Highland Optometrics
- Optometrist
- Highland, CA
National Provider Identifier
1578031597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- HIGHLAND OPTOMETRICS
- Practice address
- 7291 Boulder Avenue Suite #2D
Highland, CA 92346 - Phone
- (909) 425-1212
- Fax
- (909) 425-2485
- NPI assigned
- Nov 7, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Adam J Lofgran, O.D.
- Title
- Owner
- Phone
- (435) 680-0055
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
7291 Boulder Avenue Suite #2D
Highland, CA 92346
Mailing address
749 S River Rd
Saint George, UT 84790-5509
Phone (435) 628-4464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190813002800 | CA | Part B Supplier - Clinic/Group Practice | 2163768664 |
Receives reassigned benefits from 3 practitioners Practice locations: Highland, CA |
National Provider Directory
National Provider DirectoryLocations
7291 Boulder Ave
Ste 2D
Highland, CA 92346
Phone (909) 425-1212
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Highland, CA
- NPI 1649354432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541548800000",
"number": "1578031597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 S RIVER RD",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847905509",
"telephone_number": "435-628-4464",
"fax_number": "435-628-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7291 BOULDER AVENUE SUITE #2D",
"city": "HIGHLAND",
"state": "CA",
"postal_code": "92346",
"telephone_number": "909-425-1212",
"fax_number": "909-425-2485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLAND OPTOMETRICS",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-07",
"last_updated": "2018-11-07",
"status": "A",
"authorized_official_last_name": "LOFGRAN",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "435-680-0055",
"authorized_official_name_prefix": "Mr.",
"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 Highland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.