Barry L Fallesen

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT6911TPL Issued in CA

Legal business name

BARRY L FALLESEN

Practice address

235 Spruce St
Gridley, CA 95948-2215

Phone

(530) 846-2697

Fax

(530) 846-6426

NPI assigned

Nov 5, 2009

Last updated

Nov 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barry L FallesenNPI 1598738999

Title

Optometrist

Phone

(530) 846-2697

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Barry L Fallesen

  • Optometrist
  • Gridley, CA
  • NPI 1598738999
  Authorized official Same address or phone

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1811224223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SPRUCE ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482215",
            "telephone_number": "530-846-2697",
            "fax_number": "530-846-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 SPRUCE ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482215",
            "telephone_number": "530-846-2697",
            "fax_number": "530-846-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY L FALLESEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "FALLESEN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "530-846-2697"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6911TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0069110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sotero Amaya
• Ampla Health
• Ampla Health
• Thomas Harold Artzner, MD
• Fariha Atmar, PA-C
• BCBH
• Morgan Begotka
• Biggs-Gridley Mem. Hosp. Pharmacy
• Biggs-Gridley Memorial Hospital (Orchard Hospital)
• Sharia Bokhari, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.