Jeffrey Roger Dougal, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4880T Issued in CA

Practice address

1201 N Rose Dr
Suite 100
Placentia, CA 92870-3939

Phone

(714) 528-2566

Fax

(714) 993-5369

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1760560130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N ROSE DR",
            "address_2": "SUITE 100",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703939",
            "telephone_number": "714-528-2566",
            "fax_number": "714-993-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N ROSE DR",
            "address_2": "SUITE 100",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703939",
            "telephone_number": "714-528-2566",
            "fax_number": "714-993-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGAL",
        "first_name": "JEFFREY",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4880T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie P Dominguez
• Antoan Stoyanov Donchev, DDS
• Tsvetanka Aleksandrova Doncheva, DDS
• Dain Dorsey
• Hailey Nicole Doucet
• Carole Adrienne Dougherty, R.N.
• Brian Phillip Doyle, M.D.
• Dr Joseph Longnecker (Yorba Linda Medica Center)
• Dr Kristin Rodriguez Medical Corporation
• Dr Lee Acupuncture

• Optometrist in Placentia, CA
• Providers in Placentia, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.