Ted a Bailey O D Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

6161T Issued in CA

Legal business name

TED A BAILEY O D OPTOMETRIC CORPORATION

Doing business as

Plager Vision and Optometric Center

Practice address

1665 Dominican Way
Suite 224
Santa Cruz, CA 95065-1528

Phone

(831) 476-8033

Fax

(831) 476-4571

NPI assigned

Apr 24, 2008

Last updated

May 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ted A Bailey, O.D.NPI 1356489959

Title

Owner

Phone

(831) 476-8033

Specialties & licenses 1

Addresses

Other names 1

• Plager Vision and Optometric Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ted A Bailey, OD

  • Optometrist
  • Santa Cruz, CA
  • NPI 1356489959
  Authorized official Same address or phone

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1770758385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 DOMINICAN WAY",
            "address_2": "SUITE 224",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651528",
            "telephone_number": "831-476-8033",
            "fax_number": "831-476-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 DOMINICAN WAY",
            "address_2": "SUITE 224",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651528",
            "telephone_number": "831-476-8033",
            "fax_number": "831-476-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED A BAILEY O D OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-476-8033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6161T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plager Vision and Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanne Taylor, DC
• Larisa Taylor, MD
• Scott Barry Taylor, MS.T.
• Steven Ryan Taylor, LPCC 19468
• Tea Taylor, OTR/L CLT
• Lily Isabella Tedder-Muller
• Jayden Tehada Gamez
• Robin Kaye Tejada, RN
• Telecare Corporation (Santa Cruz County Crisis Stabilization)
• Telecare Corporation

• Optometrist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.