Active NPI
Simona Grosu, O.D.
- Optometrist
- San Diego, CA
National Provider Identifier
1841368305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14373TLG
- Practice address
- 3075 Health Center Dr Ste 403
San Diego, CA 92123 - Phone
- (858) 278-9900
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV007005-1 | NY | |
| Optometrist | 152W00000X | 27OA00601900 | NJ | |
| Optometrist | 152W00000X | 14373TLG | CA | Primary |
Addresses
Primary practice location
3075 Health Center Dr Ste 403
San Diego, CA 92123
Mailing address
5396 Renaissance Ave
San Diego, CA 92122-5632
Other practice location 1
1804 Broadway
New York, NY 10019-1404
Phone (212) 262-1502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14373TLG | CA | MD | Optometrist |
| 27OA00601900 | NJ | MD | Optometrist |
| TUV007005-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas S. Tooma, M.D. a Professional Corporation | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Newport Beach, CA
- NPI 1386764983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568851200000",
"number": "1841368305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5396 RENAISSANCE AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921225632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 HEALTH CENTER DR STE 403",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92123",
"telephone_number": "858-278-9900"
}
],
"practiceLocations": [
{
"address_1": "1804 Broadway",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100191404",
"country_code": "US",
"telephone_number": "212-262-1502",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROSU",
"first_name": "SIMONA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2019-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007005-1",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00601900",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14373TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Grossmont Hospital Corporation (ParkView Home)
- Grossmont Hospital Corporation (Sharp Home Infusion Services)
- Grossmont Hospital Corporation (Sharp Specialty Pharmacy Services)
- Emily Renee Grost, CRNA
- Daniel Stefan Grosu, M.D.
- Carole A Grotebeyers, PH.D
- Calli Grotewiel
- John Grotting, M.D.
- Grounded Roots Mental Health Therapy
- Zachary Grounds, MSCP, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.