NPIMap

Organization Active NPI

Michael a. Kling OD, Inc

  • Optometrist
  • San Diego, CA
National Provider Identifier
1760550768
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10135T Issued in CA
Legal business name
MICHAEL A. KLING OD, INC
Practice address
3945 1St Ave
San Diego, CA 92103-3015
Phone
(619) 295-4194
Fax
(619) 295-4930
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Mrs. Frances Elizabeth Lancaster
Title
Office Manager
Phone
(619) 295-4194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 10135T CA Primary

Addresses

Primary practice location

3945 1St Ave
San Diego, CA 92103-3015

Mailing address

3945 1St Ave
San Diego, CA 92103-3015
Phone (619) 295-4194

Other identifiers 4

IdentifierTypeStateIssuer
DF2547OtherCARAILROAD MEDICARE
ZZZ67689ZOtherCABLUESHIELD
0909134MedicaidCA
1235214479OtherCABLUECROSS

Other names 1

  • INVISION EYE CARE - OPTOMETRY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050611000077 CA Part B Supplier - Clinic/Group Practice 7719921691 Receives reassigned benefits from 4 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

1349 Camino del Mar
Ste C
Del Mar, CA 92014
Phone (858) 755-5484

3945 1st Ave
San Diego, CA 92103
Phone (619) 294-4015

3434 4th Ave
San Diego, CA 92103
Phone (619) 222-2020

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1760550768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033015",
            "telephone_number": "619-295-4194",
            "fax_number": "619-295-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033015",
            "telephone_number": "619-295-4194",
            "fax_number": "619-295-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. KLING OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "LANCASTER",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-295-4194",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10135T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF2547",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "ZZZ67689Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0909134",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "1235214479",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INVISION EYE CARE - OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.