Active NPI
Bird Rock Optical
- Eyewear Supplier
- Chula Vista, CA
National Provider Identifier
1770774457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 021264-06
- Legal business name
- BIRD ROCK OPTICAL
- Practice address
- 865 3Rd Ave Ste 121
Chula Vista, CA 91911-1300 - Phone
- (619) 427-2289
- Fax
- (619) 426-3427
- NPI assigned
- Aug 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Elena Kron
- Title
- Owner
- Phone
- (619) 427-2289
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 021264-06 | CA | Primary |
Addresses
Primary practice location
865 3Rd Ave Ste 121
Chula Vista, CA 91911-1300
Mailing address
865 3Rd Ave Ste 121
Chula Vista, CA 91911-1300
Phone (619) 427-2289
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DX006044F | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
865 Third Ave
Ste 121
Chula Vista, CA 91911
Phone (619) 426-3400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204502400000",
"number": "1770774457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 3RD AVE STE 121",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919111300",
"telephone_number": "619-427-2289",
"fax_number": "619-426-3427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 3RD AVE STE 121",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919111300",
"telephone_number": "619-427-2289",
"fax_number": "619-426-3427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIRD ROCK OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-07",
"last_updated": "2008-03-03",
"status": "A",
"authorized_official_last_name": "KRON",
"authorized_official_first_name": "ELENA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-427-2289",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "CA",
"license": "021264-06",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DX006044F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.