Gendelman Optometry, Inc @ the Vision Store

Primary specialty

OptometristTaxonomy code 152W00000X

License

13305 Issued in CA

Legal business name

GENDELMAN OPTOMETRY, INC @ THE VISION STORE

Practice address

884 Eastlake Pkwy
Suite 1617
Chula Vista, CA 91914-4547

Phone

(619) 651-9602

Fax

(619) 651-9604

NPI assigned

Apr 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Irene J. Gendelman, O.D.

Title

President

Phone

(619) 651-9602

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1760657522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 EASTLAKE PKWY",
            "address_2": "SUITE 1617",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144547",
            "telephone_number": "619-651-9602",
            "fax_number": "619-651-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 EASTLAKE PKWY",
            "address_2": "SUITE 1617",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144547",
            "telephone_number": "619-651-9602",
            "fax_number": "619-651-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENDELMAN OPTOMETRY, INC @ THE VISION STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "GENDELMAN",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-651-9602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashenafe Woldu Gedrago
• Richard Gee-Kee
• Barbara Gee
• David Alexander Gehlken, NP
• Johnna Gemelos, D.O.
• Manalle Genet
• Delilah Tabing Genido, D.M.D.
• Gentle Care Family Dentistry, Elvie C. Nathanson D.M.D., Inc.
• Jennifer Ann George
• Georges M. Argoud, M.D.

• Optometrist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.