Organization Active NPI

Stuart Adams OD PC

  • Optometrist
  • Blythe, CA
National Provider Identifier
1821367236
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT9189 Issued in CA
Legal business name
STUART ADAMS OD PC
Practice address
110 N Spring St
Blythe, CA 92225-1633
Phone
(760) 922-3951
Fax
(760) 922-5202
NPI assigned
Dec 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Stuart B Adams, O.D.
Title
Optometrist/Owner
Phone
(928) 680-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT9189 CA Primary

Addresses

Primary practice location

110 N Spring St
Blythe, CA 92225-1633

Mailing address

110 N Spring St
Blythe, CA 92225-1633
Phone (760) 922-3951

National Provider Directory

National Provider Directory

Locations

383 Lake Havasu Ave S
#1
Lake Havasu City, AZ 86403
Phone (928) 680-1144

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1821367236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N SPRING ST",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251633",
            "telephone_number": "760-922-3951",
            "fax_number": "760-922-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N SPRING ST",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251633",
            "telephone_number": "760-922-3951",
            "fax_number": "760-922-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART ADAMS OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "928-680-1144",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blythe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.