Organization Active NPI

Bird Rock Optical

  • Eyewear Supplier
  • Chula Vista, CA
National Provider Identifier
1770774457
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
021264-06 Issued in CA
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

Updated by the provider on Mar 3, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DX006044FMedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.