NPIMap

Organization Active NPI

Mintz Family Optometry, Apc

  • Optometrist
  • Upland, CA
National Provider Identifier
1598850893
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
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
Last updated
Sep 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4109T CA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 5933T CA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 8810T CA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OPT8810TPA CA Primary

Addresses

Primary practice location

553 North Mountain Avenue
Upland, CA 91786-5016

Mailing address

553 North Mountain Avenue
Upland, CA 91786-5016
Phone (909) 985-2876

Other names 1

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

National Provider Directory

National Provider Directory

Locations

553 N Mountain Ave
Upland, CA 91786
Phone (909) 985-2876

Practitioners & affiliated clinicians

Practitioners 6

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": "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irwin H. Mintz, OD, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • 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.