Organization Active NPI

D.R. Optometry

  • Optometrist
  • Corona, CA
National Provider Identifier
1821024266
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
D.R. OPTOMETRY
Practice address
1810 Fullerton Ave
Suite 104
Corona, CA 92881-3103
Phone
(951) 808-1080
Fax
(951) 808-1161
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Dr. Catherine Joanita Radakovic, O.D.
Title
Owner
Phone
(951) 808-1080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1810 Fullerton Ave
Suite 104
Corona, CA 92881-3103

Mailing address

1810 Fullerton Ave
Suite 104
Corona, CA 92881-3103
Phone (951) 808-1080

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1821024266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 FULLERTON AVE",
            "address_2": "SUITE 104",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813103",
            "telephone_number": "951-808-1080",
            "fax_number": "951-808-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 FULLERTON AVE",
            "address_2": "SUITE 104",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813103",
            "telephone_number": "951-808-1080",
            "fax_number": "951-808-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.R. OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "RADAKOVIC",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "JOANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-808-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.