Allied Gardens Family Optometry Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12360T Issued in CA

Legal business name

ALLIED GARDENS FAMILY OPTOMETRY INC.

Practice address

5175 Waring Rd
San Diego, CA 92120-2705

Phone

(619) 583-1000

Fax

(619) 229-1938

NPI assigned

Mar 12, 2010

Organization subpart

No

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

Authorized official

Name

Rosina Marie Cullins, O.D,NPI 1982639365

Title

President

Phone

(619) 583-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Rosina Marie Cullins, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1982639365
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1730402132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 WARING RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202705",
            "telephone_number": "619-583-1000",
            "fax_number": "619-229-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 WARING RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202705",
            "telephone_number": "619-583-1000",
            "fax_number": "619-229-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED GARDENS FAMILY OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "CULLINS",
        "authorized_official_first_name": "ROSINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-583-1000",
        "authorized_official_credential": "O.D,"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12360T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alliance Health Clinic
• Alliance Health Clinic Inc
• Alliant Care Transport
• Alliant International University, Inc.
• Shaheed Allie
• Alliedpath
• Bradley James Allis, IDC
• Andrea M Allison, BCBA
• Bradford Joshua Allison, DEEP SEA IDC
• Deandre Micah Allison

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.