Organization Active NPI

Werner Optometry, Apc

  • Optometrist
  • El Cajon, CA
National Provider Identifier
1851617666
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9378 Issued in CA
Legal business name
WERNER OPTOMETRY, APC
Practice address
2650 Jamacha Rd
Suite 155
El Cajon, CA 92019-4319
Phone
(619) 670-6296
Fax
(619) 670-8852
NPI assigned
Apr 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Dr. Rex Arthur Werner, OD
Title
President
Phone
(619) 670-6296

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 9378 CA Primary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X 13478 CA
Pediatric OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WP0200X 13478 CA
Vision Therapy OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WV0400X 13478 CA

Addresses

Primary practice location

2650 Jamacha Rd
Suite 155
El Cajon, CA 92019-4319

Mailing address

2650 Jamacha Rd
Suite 155
El Cajon, CA 92019-4319
Phone (619) 670-6296

Other identifiers 1

IdentifierTypeStateIssuer
1851617666MedicaidCA

National Provider Directory

National Provider Directory

Locations

2650 Jamacha Rd
Ste 155
El Cajon, CA 92019
Phone (619) 670-6296

2650 Jamacha Rd
El Cajon, CA 92019

Interoperability endpoints

  • FHIR API: https://wernerod.ef.prod.fhir.ema-api.com/fhir/r4/

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": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1851617666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 JAMACHA RD",
            "address_2": "SUITE 155",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194319",
            "telephone_number": "619-670-6296",
            "fax_number": "619-670-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 JAMACHA RD",
            "address_2": "SUITE 155",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194319",
            "telephone_number": "619-670-6296",
            "fax_number": "619-670-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WERNER OPTOMETRY, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-670-6296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9378",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "13478",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "13478",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "13478",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851617666",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.