Optometry Eyecareeyewear Com Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

5930T Issued in CA

Legal business name

OPTOMETRY EYECAREEYEWEAR COM INC

Practice address

601 Gateway Blvd.
Suite 220
South San Francisco, CA 94080

Phone

(650) 871-9200

NPI assigned

Oct 2, 2013

Organization subpart

No

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

Authorized official

Name

Donald Robinson, OPTOMETRIST

Title

Owner

Phone

(650) 871-9200

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Carrie Lee, O.D.

  • Optometrist
  • San Francisco, CA
  • NPI 1760474142
  NPD (past)
• Mallory Nicole Lynch, O.D.

  • Optometrist
  • Austin, TX
  • NPI 1558674846
  NPD (past)

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1720415979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 GATEWAY BLVD.",
            "address_2": "SUITE 220",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GATEWAY BLVD.",
            "address_2": "SUITE 220",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94080",
            "telephone_number": "650-871-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRY EYECAREEYEWEAR COM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-871-9200",
        "authorized_official_credential": "OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5930T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Abraham Malabanan Oliva
• Oncology Therapeutics Network Joint Venture, L.P.
• Ronald Allan Ong, PT
• Open Accessible Transport
• Open Accessible Transport LLC
• Liana Orozco
• Juan Carlos Ortega, PTA
• Otn Parent Corp.
• P&G Inc.
• Mari-June Pacleb

• Optometrist in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.