NPIMap

Organization Active NPI

Amanda Michelle Parreira

Doing business as San Luis Obispo Optometric Center

  • Eyewear Supplier
  • San Luis Obispo, CA
National Provider Identifier
1790954824
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
11202T Issued in CA
Legal business name
AMANDA MICHELLE PARREIRA
Doing business as
San Luis Obispo Optometric Center
Practice address
894 Meinecke Ave
Suite a
San Luis Obispo, CA 93405-1722
Phone
(805) 543-6632
Fax
(805) 543-6863
NPI assigned
Feb 22, 2008
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Dr. Amanda Michelle Parreira, O.D.NPI 1619948809
Title
Owner/Optometrist
Phone
(805) 543-6632

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 11202T CA
Eyewear Supplier 332H00000X 11202T CA Primary

Addresses

Primary practice location

894 Meinecke Ave
Suite a
San Luis Obispo, CA 93405-1722

Mailing address

894 Meinecke Ave
Suite a
San Luis Obispo, CA 93405-1722
Phone (805) 543-6632

Other names 1

  • San Luis Obispo Optometric Center Doing business as

National Provider Directory

National Provider Directory

Locations

894 Meinecke Ave
Ste A
Sn Luis Obisp, CA 93405
Phone (805) 543-6632

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1790954824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 MEINECKE AVE",
            "address_2": "SUITE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051722",
            "telephone_number": "805-543-6632",
            "fax_number": "805-543-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 MEINECKE AVE",
            "address_2": "SUITE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051722",
            "telephone_number": "805-543-6632",
            "fax_number": "805-543-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA MICHELLE PARREIRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "PARREIRA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "805-543-6632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "11202T",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "11202T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Luis Obispo Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.