Mintz Family Optometry, Apc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT8810TPA Issued in CA

Legal business name

MINTZ FAMILY OPTOMETRY, APC

Practice address

553 North Mountain Avenue
Upland, CA 91786-5016

Phone

(909) 985-2876

Fax

(909) 946-8585

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dena M. Mintz, ODNPI 1205911377

Title

President

Phone

(909) 985-2876

Specialties & licenses 4

Addresses

Other identifiers 13

Other names 1

• Irwin H. Mintz, OD, Inc. Former legal business name

Locations

Practitioners 6

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

• Dena M. Mintz, O.D.

  • Optometrist
  • Corona, CA
  • NPI 1205911377
  NPD (past) Authorized official
• Karissa Lynn Paul, O.D.

  • Optometrist
  • Banning, CA
  • NPI 1760697015
  NPD
• Summra Masood, O.D.

  • Optometrist
  • New York, NY
  • NPI 1609848522
  NPD
• Nam Viet Ly, O.D.

  • Optometrist
  • Bellflower, CA
  • NPI 1447487863
  NPD (past)
• Lethuy T Nguyen, O.D.

  • Optometrist
  • Upland, CA
  • NPI 1033285689
  NPD (past)
• Laurence R Rubin, OD

  • Optometrist
  • Pasadena, CA
  • NPI 1871584581
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1598850893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 NORTH MOUNTAIN AVENUE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865016",
            "telephone_number": "909-985-2876",
            "fax_number": "909-946-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 NORTH MOUNTAIN AVENUE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865016",
            "telephone_number": "909-985-2876",
            "fax_number": "909-946-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINTZ FAMILY OPTOMETRY, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-985-2876",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4109T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5933T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8810T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8810TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR INDIVIDUAL RUBIN",
            "identifier": "1871584581",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID FOR SAFEGUARD",
            "identifier": "45941",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IEHP ID",
            "identifier": "9V12145",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL FOR MINTZ",
            "identifier": "1417948092",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RUBIN ID FOR MES VISION",
            "identifier": "16110",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GVA ID NUMBER",
            "identifier": "35021",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID FOR VBA",
            "identifier": "12993",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINTZ ID FOR MES VISION",
            "identifier": "3163",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID FOR SAFEGUARD PPO",
            "identifier": "49103",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0041091",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "09160",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYMED ID",
            "identifier": "211537",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA VISION ID",
            "identifier": "091303",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irwin H. Mintz, OD, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Linda Miller
• Scott Miller, M.D.
• Wanda Mills
• Tamar Minassian
• Minsoo Han DDS Inc
• Matthew Stephen Mintz, CADC-I
• Jessica Miranda
• Emmanuel J. Mitsinikos, M.D.
• MJ Integrative Wellness
• MJ Medical Group,Inc.

• Optometrist in Upland, CA
• Providers in Upland, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.