Active NPI
La Jolla Ophthalmology
- Ophthalmology Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- LA JOLLA OPHTHALMOLOGY
- Practice address
- 7334 Girard Ave Ste 202
La Jolla, CA 92037-5141 - Phone
- (858) 775-1555
- NPI assigned
- Sep 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brittney A Dautremont, DO, MPH
- Title
- President
- Phone
- (858) 775-1555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
7334 Girard Ave Ste 202
La Jolla, CA 92037-5141
Mailing address
7334 Girard Ave Ste 202
La Jolla, CA 92037-5141
Phone (858) 775-1555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211011001559 | CA | Part B Supplier - Clinic/Group Practice | 4688072366 |
Receives reassigned benefits from 1 practitioner Practice locations: La Jolla, CA |
National Provider Directory
National Provider DirectoryLocations
7334 Girard Ave
Ste 202
La Jolla, CA 92037
Phone (858) 459-8224
12264 El Camino Real
Ste 55
San Diego, CA 92130
Phone (858) 755-3937
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- La Jolla, CA
- NPI 1730527698
CA, Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630627200000",
"number": "1730857764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7334 GIRARD AVE STE 202",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920375141",
"telephone_number": "858-775-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7334 GIRARD AVE STE 202",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920375141",
"telephone_number": "858-775-1555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA JOLLA OPHTHALMOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-03",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A",
"authorized_official_last_name": "DAUTREMONT",
"authorized_official_first_name": "BRITTNEY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-775-1555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO, MPH"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
- La Jolla Healhcare Group, Inc.
- La Jolla Ivf,Inc
- La Jolla Neurosurgical Associates a Medical Corporation
- La Jolla Observation Medicine
- La Jolla Oncology Acupuncture & Massage
- La Jolla Optique
- La Jolla Orthopaedic Surgery Center LP
- La Jolla Orthopedic Trauma Inc
- La Jolla Personal Physicians Medical Group, Inc.
- La Jolla Physical Therapy Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.