Organization Active NPI

Corey Optical

Doing business as susan assael

  • Optician
  • Oakland, CA
National Provider Identifier
1902941164
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
D 4027 Issued in CA
Legal business name
COREY OPTICAL
Doing business as
susan assael
Practice address
4171 Piedmont Ave
Oakland, CA 94611-5175
Phone
(510) 655-5622
NPI assigned
Feb 21, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Susan Corey Assael, RDO
Title
Owner
Phone
(510) 655-5622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X D 4027 CA Primary

Addresses

Primary practice location

4171 Piedmont Ave
Oakland, CA 94611-5175

Mailing address

4171 Piedmont Ave
Oakland, CA 94611-5175
Phone (510) 655-5622

Other names 1

  • susan assael Doing business as

National Provider Directory

National Provider Directory

Locations

4171 Piedmont Ave
Oakland, CA 94611
Phone (510) 220-5152

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1902941164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 PIEDMONT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115175",
            "telephone_number": "510-655-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 PIEDMONT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115175",
            "telephone_number": "510-655-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "ASSAEL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "COREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-655-5622",
        "authorized_official_credential": "RDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "D 4027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "susan assael",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.