Eyes for Kids and Teens

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYES FOR KIDS AND TEENS

Practice address

7373 Clairemont Mesa Blvd Ste 104B
San Diego, CA 92111-1120

Phone

(858) 495-1488

Fax

(858) 495-1489

NPI assigned

Jan 19, 2023

Last updated

Jan 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aimee Ruth Reasoner, RDO

Title

Owner

Phone

(858) 495-1488

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1720793169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 CLAIREMONT MESA BLVD STE 104B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111120",
            "telephone_number": "858-495-1488",
            "fax_number": "858-495-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 CLAIREMONT MESA BLVD STE 104B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111120",
            "telephone_number": "858-495-1488",
            "fax_number": "858-495-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES FOR KIDS AND TEENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "REASONER",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-495-1488",
        "authorized_official_credential": "RDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ikemefuna Ikem Ezedi, DO

• Eyewear Supplier in San Diego, CA
• Providers in San Diego, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.