Active NPI
John Dibos
- Optician
- Escondido, CA
National Provider Identifier
1699374744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- SLD4553
- Practice address
- 343 W Felicita Ave Ste 10
Escondido, CA 92025-6515 - Phone
- (760) 975-3729
- NPI assigned
- Oct 20, 2020
- Last updated
- Oct 20, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | SLD4553 | CA | Primary |
Addresses
Primary practice location
343 W Felicita Ave Ste 10
Escondido, CA 92025-6515
Mailing address
141 Calle Maribel
San Marcos, CA 92069-3120
Phone (760) 593-9357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLD4553 | CA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lens 4 Less Optical, Inc. | Optician | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optician
- Escondido, CA
- NPI 1720686140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1699374744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 CALLE MARIBEL",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920693120",
"telephone_number": "760-593-9357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 W FELICITA AVE STE 10",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920256515",
"telephone_number": "760-975-3729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIBOS",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-20",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "SLD4553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.