NPIMap

Organization Active NPI

David D Carlton OD an Optometric Corporation

  • Optometrist
  • Glendora, CA
National Provider Identifier
1891775383
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA06254T Issued in CA
Legal business name
DAVID D CARLTON OD AN OPTOMETRIC CORPORATION
Practice address
410 S Glendora Ave
Suite 110
Glendora, CA 91741-6210
Phone
(626) 335-4021
Fax
(626) 335-9910
NPI assigned
Jan 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Dr. David Donald Carlton, OD
Title
President
Phone
(626) 335-4021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X CA06254T CA Primary

Addresses

Primary practice location

410 S Glendora Ave
Suite 110
Glendora, CA 91741-6210

Mailing address

410 S Glendora Ave
Suite 110
Glendora, CA 91741-6210
Phone (626) 335-4021

National Provider Directory

National Provider Directory

Locations

410 S Glendora Ave
Ste 110
Glendora, CA 91741
Phone (626) 335-4021

Practitioners & affiliated clinicians

Practitioners 1

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": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1891775383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S GLENDORA AVE",
            "address_2": "SUITE 110",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917416210",
            "telephone_number": "626-335-4021",
            "fax_number": "626-335-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S GLENDORA AVE",
            "address_2": "SUITE 110",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917416210",
            "telephone_number": "626-335-4021",
            "fax_number": "626-335-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D CARLTON OD AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-335-4021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA06254T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.