Active NPI
John Clayton Urey, O. D.
- Optometrist
- Escondido, CA
National Provider Identifier
1770588485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7652T
- Practice address
- 613 E Grand Ave
Escondido, CA 92025-4402 - Phone
- (760) 747-7979
- Fax
- (760) 747-7799
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7652T | CA | Primary |
Addresses
Primary practice location
613 E Grand Ave
Escondido, CA 92025-4402
Mailing address
3142 Mercer LN
San Diego, CA 92122-2322
Phone (858) 610-5164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD00765200 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7652T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1770588485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3142 MERCER LN",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921222322",
"telephone_number": "858-610-5164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 E GRAND AVE",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254402",
"telephone_number": "760-747-7979",
"fax_number": "760-747-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UREY",
"first_name": "JOHN",
"middle_name": "CLAYTON",
"name_prefix": "Dr.",
"credential": "O. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "7652T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD00765200",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.