Active NPI
Darlene Michelle Fidler, O.D.
- Optometrist
- Corona, CA
National Provider Identifier
1861423964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11352T
- Practice address
- 2791 Green River Rd Ste 106
Corona, CA 92882-7453 - Phone
- (951) 736-2020
- Fax
- (951) 736-2002
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11352T | CA | Primary |
Addresses
Primary practice location
2791 Green River Rd Ste 106
Corona, CA 92882-7453
Mailing address
PO Box 15415
Irvine, CA 92623-5415
Phone (714) 508-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11352 | CA | MD | Mental Health Counselor |
| 11352T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicas del Camino Real Inc | Current | Accepting new patients | |
| Clinicas del Camino Real Inc | Current | Accepting new patients | |
| Clinicas del Camino Real Inc | Current | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients | |
| Seth Bernstein OD and Lisa Benham OD Inc | Optometrist | Past | Accepting new patients |
Locations
500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895
200 S Wells Rd
Ste 200
Ventura, CA 93004
Phone (805) 647-6322
200 S Wells Rd
Ventura, CA 93004
Phone (805) 647-6322
Interoperability endpoints
- darlene.fidler.p1@direct.clinicas.nextgenshare.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1679631907
-
- Community Health Clinic/Center
- Oxnard, CA
- NPI 1235866138
-
- Federally Qualified Health Center (FQHC)
- Newbury Park, CA
- NPI 1982820221
-
- Eyewear Supplier
- Riverside, CA
- NPI 1366598120
-
- Optometrist
- Corona, CA
- NPI 1659405058
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1861423964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15415",
"city": "IRVINE",
"state": "CA",
"postal_code": "926235415",
"telephone_number": "714-508-7400",
"fax_number": "714-508-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2791 GREEN RIVER RD STE 106",
"city": "CORONA",
"state": "CA",
"postal_code": "928827453",
"telephone_number": "951-736-2020",
"fax_number": "951-736-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIDLER",
"first_name": "DARLENE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11352T",
"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 Jan 26, 2016; 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.