Active NPI
Richard L Simpson, OD
- Optometrist
- Ontario, CA
National Provider Identifier
1881600799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6807
- Practice address
- 1131 W 6TH St
Suite 150
Ontario, CA 91762-1121 - Phone
- (909) 986-0918
- Fax
- (909) 984-4918
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- 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 | 6807 | CA | Primary |
Addresses
Primary practice location
1131 W 6TH St
Suite 150
Ontario, CA 91762-1121
Mailing address
1131 W 6TH St
Suite 150
Ontario, CA 91762-1121
Phone (909) 986-0918
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0068070 | Medicaid | CA | |
| CE255Z | Other | CA | PTAN NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6807 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254873600000",
"number": "1881600799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 W 6TH ST",
"address_2": "SUITE 150",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917621121",
"telephone_number": "909-986-0918",
"fax_number": "909-984-4918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 W 6TH ST",
"address_2": "SUITE 150",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917621121",
"telephone_number": "909-986-0918",
"fax_number": "909-984-4918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "RICHARD",
"middle_name": "L",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2009-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "6807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0068070",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN NUMBER",
"identifier": "CE255Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.