NPIMap

Organization Active NPI

Michelle Fitzpatrick Inc

  • Optometrist
  • San Diego, CA
National Provider Identifier
1841551132
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13428T Issued in CA
Legal business name
MICHELLE FITZPATRICK INC
Practice address
1947 Fern St
#3
San Diego, CA 92102-1137
Phone
(619) 233-6183
Fax
(619) 232-7415
NPI assigned
Jun 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Dr. Michelle V Fitzpatrick, OD
Title
President/Optometrist
Phone
(619) 233-6183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13428T CA Primary

Addresses

Primary practice location

1947 Fern St
#3
San Diego, CA 92102-1137

Mailing address

1947 Fern St
#3
San Diego, CA 92102-1137
Phone (619) 233-6183

Other names 1

  • Sepcs Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

1947 Fern St
Ste 3
San Diego, CA 92102
Phone (619) 223-6183

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1841551132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 FERN ST",
            "address_2": "#3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021137",
            "telephone_number": "619-233-6183",
            "fax_number": "619-232-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 FERN ST",
            "address_2": "#3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021137",
            "telephone_number": "619-233-6183",
            "fax_number": "619-232-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE FITZPATRICK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-03",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "619-233-6183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13428T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sepcs Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.