Olivia K. DO, O.D., a Professional Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

13697TLG Issued in CA

Legal business name

OLIVIA K. DO, O.D., A PROFESSIONAL OPTOMETRIC CORPORATION

Doing business as

ODO Eye Care Optometry

Practice address

702 Pearl St
Suite G
La Jolla, CA 92037-5001

Phone

(858) 291-8485

NPI assigned

Mar 25, 2015

Last updated

Aug 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olivia K DO, O.D.NPI 1134376031

Title

Owner

Phone

(858) 291-8485

Specialties & licenses 1

Addresses

Other names 1

• ODO Eye Care Optometry Doing business as

Practitioners 3

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.

• Olivia Kimberly DO, OD, FAAO

  • Optometrist
  • La Jolla, CA
  • NPI 1134376031
  Authorized official Same address or phone
• Justin Tuan-Anh Nguyen, OD

  • Optometrist
  • Chula Vista, CA
  • NPI 1033721063
  NPD
• Alyssa Teresa Pack

  • Optometrist
  • Chula Vista, CA
  • NPI 1750991220
  NPD

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1578957775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 PEARL ST",
            "address_2": "SUITE G",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375001",
            "telephone_number": "858-291-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 PEARL ST",
            "address_2": "SUITE G",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375001",
            "telephone_number": "858-291-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVIA K. DO, O.D., A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-291-8485",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13697TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ODO Eye Care Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vivian Nkeiruka Okonta, DO
• Rossen Okov
• Danae Olaso
• Mark Vernon Olcott, MD
• Olde del Mar Surgical Medical Group, Inc.
• Martin Neil Olsen, D.C.
• Ashley Olson
• Cheryl Lorraine Olson, M.D.
• Linda Olson, M.D.
• Nicholas Olson, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.