Organization Active NPI

Dr Elliott Shapiro, Family Optometry Inc.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1699222950
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7342 Issued in CA
Legal business name
DR ELLIOTT SHAPIRO, FAMILY OPTOMETRY INC.
Practice address
4353 La Jolla Village Dr
Suite H20
San Diego, CA 92122-1259
Phone
(858) 622-2165
NPI assigned
Sep 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Authorized official

Name
Elliott Shapiro
Title
President
Phone
(858) 774-2931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7342 CA Primary

Addresses

Primary practice location

4353 La Jolla Village Dr
Suite H20
San Diego, CA 92122-1259

Mailing address

7056 Sitio Caliente
Carlsbad, CA 92009-2042
Phone (858) 774-2931

National Provider Directory

National Provider Directory

Locations

4353 La Jolla Village Dr
San Diego, CA 92122
Phone (858) 622-2165

Practitioners & affiliated clinicians

Practitioners 1

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": "1472947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1699222950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7056 SITIO CALIENTE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920092042",
            "telephone_number": "858-774-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4353 LA JOLLA VILLAGE DR",
            "address_2": "SUITE H20",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221259",
            "telephone_number": "858-622-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ELLIOTT SHAPIRO, FAMILY OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-04",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-774-2931"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.