NPIMap

Organization Active NPI

DRS John W & Terri F Stibel

  • Optometrist
  • Santa Monica, CA
National Provider Identifier
1861652091
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7457T Issued in CA
Legal business name
DRS JOHN W & TERRI F STIBEL
Practice address
2730 Wilshire Blvd Ste 545
Santa Monica, CA 90403-4745
Phone
(310) 315-9122
Fax
(310) 315-9122
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Dr. Terri F Stibel, ODNPI 1861542037
Title
Owner
Phone
(310) 315-9122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7457T CA Primary

Addresses

Primary practice location

2730 Wilshire Blvd Ste 545
Santa Monica, CA 90403-4745

Mailing address

2730 Wilshire Blvd Ste 545
Santa Monica, CA 90403-4745
Phone (310) 315-9122

National Provider Directory

National Provider Directory

Locations

2730 Wilshire Blvd
Ste 545
Santa Monica, CA 90403
Phone (310) 315-9122

Practitioners & affiliated clinicians

Practitioners 6

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": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1861652091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD STE 545",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034745",
            "telephone_number": "310-315-9122",
            "fax_number": "310-315-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD STE 545",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034745",
            "telephone_number": "310-315-9122",
            "fax_number": "310-315-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS JOHN W & TERRI F STIBEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "STIBEL",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-315-9122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7457T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.