Organization Active NPI

Larry Alenbaugh Optometry

  • Optometrist
  • San Diego, CA
National Provider Identifier
1780124792
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12542TLG Issued in CA
Legal business name
LARRY ALENBAUGH OPTOMETRY
Practice address
Nas North Island Building 2017
San Diego, CA 92135
Phone
(619) 435-1308
Fax
(619) 435-1308
NPI assigned
Feb 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
Larry Alenbaugh, ODNPI 1881631885
Title
Optometrist/Owner
Phone
(626) 246-2096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12542TLG CA Primary

Addresses

Primary practice location

Nas North Island Building 2017
San Diego, CA 92135

Mailing address

1807 N Shattuck PL
Orange, CA 92865-4640
Phone (626) 246-2096

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1780124792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 N SHATTUCK PL",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928654640",
            "telephone_number": "626-246-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAS NORTH ISLAND BUILDING 2017",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92135",
            "telephone_number": "619-435-1308",
            "fax_number": "619-435-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY ALENBAUGH OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "ALENBAUGH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "626-246-2096",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12542TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.