NPIMap

Organization Active NPI

Douglas M. Osborne OD a Professional Corporation

  • Optometrist
  • Carlsbad, CA
National Provider Identifier
1861796997
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6526T Issued in CA
Legal business name
DOUGLAS M. OSBORNE OD A PROFESSIONAL CORPORATION
Practice address
2910 Jefferson Street
Suite 101
Carlsbad, CA 92008-2357
Phone
(760) 729-4327
Fax
(760) 729-4105
NPI assigned
Jan 4, 2011
Last updated
Jan 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. Douglas Mitchell Osborne, O.D.NPI 1467430587
Title
Owner
Phone
(760) 729-4327

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 6526T CA Primary

Addresses

Primary practice location

2910 Jefferson Street
Suite 101
Carlsbad, CA 92008-2357

Mailing address

2910 Jefferson Street
Suite 101
Carlsbad, CA 92008-2357
Phone (760) 729-4327

Other identifiers 1

IdentifierTypeStateIssuer
SD0065260MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1861796997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 JEFFERSON STREET",
            "address_2": "SUITE 101",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082357",
            "telephone_number": "760-729-4327",
            "fax_number": "760-729-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 JEFFERSON STREET",
            "address_2": "SUITE 101",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082357",
            "telephone_number": "760-729-4327",
            "fax_number": "760-729-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS M. OSBORNE OD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-729-4327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6526T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0065260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.