Anika Dewan O.D. Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT13802TLG Issued in CA

Legal business name

ANIKA DEWAN O.D. INC.

Practice address

302 Colorado Ave
Santa Monica, CA 90401-2318

Phone

(310) 393-5503

NPI assigned

Jan 27, 2012

Organization subpart

No

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

Authorized official

Name

Anika Dewan

Title

President

Phone

(714) 496-9246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1740552447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25039 WINTERGREEN CT",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913812214",
            "telephone_number": "714-496-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 COLORADO AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012318",
            "telephone_number": "310-393-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIKA DEWAN O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "DEWAN",
        "authorized_official_first_name": "ANIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-496-9246"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13802TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.