NPIMap

Organization Active NPI

Kathleen Dennis-Zarate MD

Doing business as The Spectacle Shoppe

  • Ophthalmology Physician
  • Montrose, CA
National Provider Identifier
1689730012
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G81715 Issued in CA
Legal business name
KATHLEEN DENNIS-ZARATE MD
Doing business as
The Spectacle Shoppe
Practice address
2330 Honolulu Ave
Montrose, CA 91020-1822
Phone
(818) 551-7127
Fax
(818) 249-0547
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kathleen June Dennis Zarate, M.D.
Title
Owner President
Phone
(818) 249-6447

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X G81715 CA Primary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X G81539 CA

Addresses

Primary practice location

2330 Honolulu Ave
Montrose, CA 91020-1822

Mailing address

2330 Honolulu Ave
Montrose, CA 91020-1822
Phone (818) 249-6447

Other identifiers 1

IdentifierTypeStateIssuer
GR0095000MedicaidCA

Other names 1

  • THE SPECTACLE SHOPPE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kathleen Dennis-Zarate MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689730012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 HONOLULU AVE",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201822",
            "telephone_number": "818-249-6447",
            "fax_number": "818-249-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 HONOLULU AVE",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201822",
            "telephone_number": "818-551-7127",
            "fax_number": "818-249-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN DENNIS-ZARATE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENNIS ZARATE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "818-249-6447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G81715",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G81539",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0095000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE SPECTACLE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montrose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.