Spektacles Optometry and Eyewear Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1154T Issued in CA

Legal business name

SPEKTACLES OPTOMETRY AND EYEWEAR INC.

Practice address

2027 San Elijo Ave
Suite 2027
Cardiff, CA 92007-1726

Phone

(760) 452-2895

Fax

(760) 452-2898

NPI assigned

Jan 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tania Corry Kaczanowski, O.D.NPI 1356318901

Title

Optometrist/Owner

Phone

(760) 452-2895

Specialties & licenses 1

Addresses

Other names 1

• Spektacles Optometry and Eyewear Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Tania Kaczanowski, OD

  • Optometrist
  • Chula Vista, CA
  • NPI 1356318901
  Medicare reassignment Care Compare group NPD Authorized official
• Michelle Kim, OD

  • Optometrist
  • Cardiff, CA
  • NPI 1457328825
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1780954818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 SAN ELIJO AVE",
            "address_2": "SUITE 2027",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920071726",
            "telephone_number": "760-452-2895",
            "fax_number": "760-452-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 SAN ELIJO AVE",
            "address_2": "SUITE 2027",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920071726",
            "telephone_number": "760-452-2895",
            "fax_number": "760-452-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEKTACLES OPTOMETRY AND EYEWEAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "KACZANOWSKI",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "CORRY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "760-452-2895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "1154T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spektacles Optometry and Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cathryn Sharer, LMFT
• David Shores, D.C.
• Jill Ellen Siegelman, MFT
• SMHS LLC
• Mariana Solis-Ibarra
• Spiral Physical Therapy Inc.
• Stacy R Smith, MD Apc
• Dianne Sterling, PSY.D.
• Sunder Enterprises Inc.
• Sunnier Days Psychology, Inc.

• Optometrist in Cardiff, CA
• Providers in Cardiff, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.