Midtown Optometry Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12388T Issued in CA

Legal business name

MIDTOWN OPTOMETRY INC.

Doing business as

Midtown Optometry

Practice address

2321 W March LN Ste a
Stockton, CA 95207-5265

Phone

(209) 986-1880

Fax

(209) 957-8077

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Derron Timothy Lee, ODNPI 1144313552

Title

Authorized Official

Phone

(209) 986-1880

Specialties & licenses 1

Addresses

Other names 1

• Midtown Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Derron Timothy Lee, O.D.

  • Optometrist
  • Stockton, CA
  • NPI 1144313552
  Medicare reassignment Authorized official
• Tanpreet Kaur Nagra, OD

  • Optometrist
  • Stockton, CA
  • NPI 1043146251
  NPD

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1639297898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 W MARCH LN STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075265",
            "telephone_number": "209-986-1880",
            "fax_number": "209-957-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 W MARCH LN STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075265",
            "telephone_number": "209-986-1880",
            "fax_number": "209-957-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DERRON",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "209-986-1880",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12388T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MHC Scadden, MD, PC
• Amanda Nicole Michael
• Kimberley Michele Michael
• Michele Thomason, PH.D.
• Kassandra Alexis Mickelson
• Juana M Mier-Anaya, M.S.
• Robert Henry Migliori
• Jacquelyn Miguel
• Amarseen Mikael
• Kevin Kaye Mikaelian, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.