Old Town Optometry Inc

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

OLD TOWN OPTOMETRY INC

Practice address

78015 Main St Ste 107
La Quinta, CA 92253-3420

Phone

(760) 771-0715

Fax

(760) 771-2033

NPI assigned

Jul 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Owen Jensen, OD

Title

Ceo

Phone

(760) 771-0715

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1740621937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78015 MAIN ST STE 107",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922533420",
            "telephone_number": "760-771-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78015 MAIN ST STE 107",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922533420",
            "telephone_number": "760-771-0715",
            "fax_number": "760-771-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD TOWN OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-771-0715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oddvar a. Myhre, M.D., Inc.
• Sanghyun Oh, LAC
• Oic Medical Corporation
• Ingrid Olavson
• Old Town Optix & Optometry, Inc.
• Bohdan Theodore Olesnicky, MD
• Petra Olesovsky, PH.D.
• Caroline Evelyn Olson, RD
• Angelique Ontiveros
• Orange County Urgent Care #3, Inc. (MedPost Urgent Care - La Quinta)

• Corneal and Contact Management Optometrist in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.