Sienne S. Van Enk

Primary specialty

OptometristTaxonomy code 152W00000X

License

10560T Issued in CA

Legal business name

SIENNE S. VAN ENK

Practice address

26640 Western Ave
Suite R
Harbor City, CA 90710-3600

Phone

(310) 325-7855

Fax

(310) 325-7955

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sienne Santamaria Van Enk, O.D.NPI 1851381230

Title

Owner-Optometrist

Phone

(310) 325-7855

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Optometric Concierge Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sienne Santamaria Van Enk, O.D.

  • Optometrist
  • Harbor City, CA
  • NPI 1851381230
  NPD (past) Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1578620274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26640 WESTERN AVE",
            "address_2": "SUITE R",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907103600",
            "telephone_number": "310-325-7855",
            "fax_number": "310-325-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26640 WESTERN AVE",
            "address_2": "SUITE R",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907103600",
            "telephone_number": "310-325-7855",
            "fax_number": "310-325-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIENNE S. VAN ENK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "VAN ENK",
        "authorized_official_first_name": "SIENNE",
        "authorized_official_middle_name": "SANTAMARIA",
        "authorized_official_title_or_position": "OWNER-OPTOMETRIST",
        "authorized_official_telephone_number": "310-325-7855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10560T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0105600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optometric Concierge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diana Jane Simbol, DDS
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• Eric Maurice Simkin, MD
• Richard Arthur Simms, D.D.S.

• Optometrist in Harbor City, CA
• Providers in Harbor City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.