Organization Active NPI

Felicia a Simonis OD

  • Optometrist
  • Upland, CA
National Provider Identifier
1639401920
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12004T Issued in CA
Legal business name
FELICIA A SIMONIS OD
Practice address
155 N 2ND Ave
Upland, CA 91786-6019
Phone
(909) 985-1814
Fax
(909) 985-1815
NPI assigned
Feb 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Dr. Felicia A Simonis, OD
Title
Owner
Phone
(909) 985-1814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12004T CA Primary

Addresses

Primary practice location

155 N 2ND Ave
Upland, CA 91786-6019

Mailing address

155 N 2ND Ave
Upland, CA 91786-6019
Phone (909) 985-1814

National Provider Directory

National Provider Directory

Locations

155 N 2nd Ave
Upland, CA 91786
Phone (909) 985-1814

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1639401920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N 2ND AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866019",
            "telephone_number": "909-985-1814",
            "fax_number": "909-985-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N 2ND AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866019",
            "telephone_number": "909-985-1814",
            "fax_number": "909-985-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELICIA A SIMONIS OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "SIMONIS",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-985-1814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12004T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 11, 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.