Eyedesigns Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

9673T Issued in CA

Legal business name

EYEDESIGNS OPTOMETRY

Practice address

1436 4TH St
San Rafael, CA 94901-2812

Phone

(415) 454-0354

NPI assigned

Feb 28, 2008

Last updated

Feb 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald Santiago Garcia, O.D.NPI 1003968199

Title

Owner/Partner

Phone

(415) 454-0354

Specialties & licenses 1

Addresses

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.

• Ronald Santiago Garcia, O.D.

  • Optometrist
  • San Rafael, CA
  • NPI 1003968199
  NPD (past) Authorized official
• Jeffrey Takashi Iwami, O.D.

  • Optometrist
  • San Rafael, CA
  • NPI 1831249515
  NPD (past)

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1912176454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012812",
            "telephone_number": "415-454-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012812",
            "telephone_number": "415-454-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDESIGNS OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "SANTIAGO",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "415-454-0354",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9673T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Evans
• Cheryl Evans
• Evia Diagnostics Marin LLC (Arcpoint Labs of San Rafael)
• Exceptional Hearing Services
• Exceptional Hearing Services of Northern California, Inc. (Beltone of Northern CA)
• Chinedu John Ezeji-Okoye, DDS
• Brigitte Faas, DC
• Ashley Malone Fagan
• Miriam Fagan, PSYD
• Molly Fagan, MS

• Optometrist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.