NPIMap

Organization Active NPI

Strickland Optometric Corporation

  • Optometrist
  • Ventura, CA
National Provider Identifier
1609233014
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14606 Issued in CA
Legal business name
STRICKLAND OPTOMETRIC CORPORATION
Practice address
4601 Telephone Rd
Suite 109
Ventura, CA 93003-5670
Phone
(805) 642-4185
Fax
(805) 642-4416
NPI assigned
Jan 15, 2016
Last updated
Jan 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Dr. Gary Strickland, O.D.NPI 1053635201
Title
Owner
Phone
(609) 703-1257

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)CodeLicenseStatePrimary
Optometrist 152W00000X 14606 CA Primary

Addresses

Primary practice location

4601 Telephone Rd
Suite 109
Ventura, CA 93003-5670

Mailing address

4601 Telephone Rd
Suite 109
Ventura, CA 93003-5670
Phone (805) 642-4185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160212000952 CA Part B Supplier - Clinic/Group Practice 0749584670 Receives reassigned benefits from 6 practitioners
Practice locations: Ventura, CA

National Provider Directory

National Provider Directory

Locations

4601 Telephone Rd
Ste 109
Ventura, CA 93003
Phone (805) 642-4185

Practitioners & affiliated clinicians

Practitioners 7

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": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1609233014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 TELEPHONE RD",
            "address_2": "SUITE 109",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035670",
            "telephone_number": "805-642-4185",
            "fax_number": "805-642-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 TELEPHONE RD",
            "address_2": "SUITE 109",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035670",
            "telephone_number": "805-642-4185",
            "fax_number": "805-642-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRICKLAND OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-703-1257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.

Verify at the official NPI Registry.