Mission Valley Family Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MISSION VALLEY FAMILY OPTOMETRY

Practice address

1640 Camino del Rio N Ste 200
San Diego, CA 92108-1523

Phone

(619) 299-3113

Fax

(619) 299-0766

NPI assigned

Jul 24, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Laheqa Suljuki, ODNPI 1174907976

Title

Managing Doctor

Phone

(619) 299-3113

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 2

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

• Laheqa Suljuki, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1174907976
  NPD Authorized official
• Edgardo Raul Cintron

  • Optometrist
  • San Diego, CA
  • NPI 1104209642
  NPD

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1801440235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 CAMINO DEL RIO N STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081523",
            "telephone_number": "619-299-3113",
            "fax_number": "619-299-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 CAMINO DEL RIO N STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081523",
            "telephone_number": "619-299-3113",
            "fax_number": "619-299-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION VALLEY FAMILY OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "SULJUKI",
        "authorized_official_first_name": "LAHEQA",
        "authorized_official_title_or_position": "MANAGING DOCTOR",
        "authorized_official_telephone_number": "619-299-3113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Missionvalleyoptometry@gmail.com",
            "affiliation": "N",
            "address_1": "1640 Camino Del Rio N Ste 200",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921081523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mission Psychological Services, Inc
• Mission Surgical, Inc.
• Mission Treatment Services, Inc.
• Mission Valley Counseling Associates, Inc
• Mission Valley Dental Arts
• Mission Valley Hegihts Surgery Center
• Mission Valley Medical Infusion Center, PC
• Mission Valley Oral & Maxillofacial Surgery, Inc.
• Mission Valley Psychology, Inc.
• Anisha Mistry

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.