NPIMap

Organization Active NPI

Garrett Pennell Optometry Inc

  • Optometrist
  • Santee, CA
National Provider Identifier
1679160410
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GARRETT PENNELL OPTOMETRY INC
Practice address
170 Town Center Pkwy
Santee, CA 92071-5801
Phone
(619) 596-0589
NPI assigned
Dec 28, 2020
Last updated
Dec 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Garrett Pennell, OD
Title
Owner
Phone
(828) 244-8384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

170 Town Center Pkwy
Santee, CA 92071-5801

Mailing address

170 Town Center Pkwy
Santee, CA 92071-5801
Phone (828) 244-8384

Other practice location 1

605 Fletcher Pkwy
El Cajon, CA 92020-2522
Phone (619) 590-1994

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1679160410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 TOWN CENTER PKWY",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920715801",
            "telephone_number": "828-244-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 TOWN CENTER PKWY",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920715801",
            "telephone_number": "619-596-0589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Fletcher Pkwy",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920202522",
            "country_code": "US",
            "telephone_number": "619-590-1994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GARRETT PENNELL OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "PENNELL",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-244-8384",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.