Active NPI
Phillip Vogel
- Optician
- Bermuda Dunes, CA
National Provider Identifier
1871809012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- D6449
- Practice address
- 41800 Washington St
Suite 107
Bermuda Dunes, CA 92203-8150 - Phone
- (760) 345-3937
- Fax
- (760) 360-5029
- NPI assigned
- Aug 25, 2010
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | D6449 | CA | Primary |
Addresses
Primary practice location
41800 Washington St
Suite 107
Bermuda Dunes, CA 92203-8150
Mailing address
41800 Washington St
Suite 107
Bermuda Dunes, CA 92203-8150
Phone (760) 345-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6449 | CA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282694400000",
"number": "1871809012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41800 WASHINGTON ST",
"address_2": "SUITE 107",
"city": "BERMUDA DUNES",
"state": "CA",
"postal_code": "922038150",
"telephone_number": "760-345-3937",
"fax_number": "760-360-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41800 WASHINGTON ST",
"address_2": "SUITE 107",
"city": "BERMUDA DUNES",
"state": "CA",
"postal_code": "922038150",
"telephone_number": "760-345-3937",
"fax_number": "760-360-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGEL",
"first_name": "PHILLIP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2010-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "D6449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bermuda Dunes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.