Eyes of Concord

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYES OF CONCORD

Doing business as

Site for Sore Eyes

Practice address

901 Sunvalley Blvd Ste 110
Concord, CA 94520-5816

Phone

(925) 676-5638

NPI assigned

Nov 19, 2021

Last updated

Nov 19, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

EYES OF CONCORD INCAs reported in NPPES

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

Authorized official

Name

Nicholas Shashati

Title

Director

Phone

(858) 414-3513

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Site for Sore Eyes Doing business as

Part of

Eyes of Concord

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1811654213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SUNVALLEY BLVD STE 110",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SUNVALLEY BLVD STE 110",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205816",
            "telephone_number": "925-676-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES OF CONCORD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYES OF CONCORD INC",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "SHASHATI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "858-414-3513"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICAL",
            "identifier": "0000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Site for Sore Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.