Organization Active NPI

Dr Scott E Gittins OD & Dr John Coen OD Inc

  • Optometrist
  • Rocklin, CA
National Provider Identifier
1811344971
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT9752TLG Issued in CA
Legal business name
DR SCOTT E GITTINS OD & DR JOHN COEN OD INC
Practice address
6809 Five Star Blvd Ste 100a
Rocklin, CA 95677-2687
Phone
(916) 624-2020
Fax
(916) 624-3027
NPI assigned
May 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Scott E Gittins, OD
Title
Owner
Phone
(916) 624-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT9752TLG CA Primary

Addresses

Primary practice location

6809 Five Star Blvd Ste 100a
Rocklin, CA 95677-2687

Mailing address

6809 Five Star Blvd Ste 100a
Rocklin, CA 95677-2687
Phone (916) 624-2020

Other names 1

  • EYEcenter Optometric Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1811344971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 FIVE STAR BLVD STE 100A",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772687",
            "telephone_number": "916-624-2020",
            "fax_number": "916-624-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 FIVE STAR BLVD STE 100A",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772687",
            "telephone_number": "916-624-2020",
            "fax_number": "916-624-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SCOTT E GITTINS OD & DR JOHN COEN OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "GITTINS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-624-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9752TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYEcenter Optometric",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.