NPIMap

Organization Active NPI

Donald J Guido OD Inc

Doing business as La Verne Optometry

  • Clinic/Center
  • La Verne, CA
National Provider Identifier
1609892611
Registry record updated Sep 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
7205T Issued in CA
Legal business name
DONALD J GUIDO OD INC
Doing business as
La Verne Optometry
Practice address
2248 D St
La Verne, CA 91750-5403
Phone
(909) 593-3519
Fax
(909) 593-3521
NPI assigned
Jul 14, 2006
Last updated
Sep 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2017

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

Authorized official

Name
Dr. Donald J Guido, O.D.NPI 1275526279
Title
President
Phone
(909) 593-3519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 7205T CA Primary

Addresses

Primary practice location

2248 D St
La Verne, CA 91750-5403

Mailing address

2248 D St
La Verne, CA 91750-5403
Phone (909) 593-3519

Other identifiers 1

IdentifierTypeStateIssuer
1609892611MedicaidCA

Other names 1

  • La Verne Optometry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1609892611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 D ST",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505403",
            "telephone_number": "909-593-3519",
            "fax_number": "909-593-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 D ST",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505403",
            "telephone_number": "909-593-3519",
            "fax_number": "909-593-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J GUIDO OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2017-09-28",
        "status": "A",
        "authorized_official_last_name": "GUIDO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-593-3519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "7205T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609892611",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Verne Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Verne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; 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.