NPIMap

Organization Active NPI

Shannon O. Alturas, O.D., a Professional Corporation

Doing business as Eyedeal Vision Optometry

  • Optometrist
  • West Covina, CA
National Provider Identifier
1912203787
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12898 T Issued in CA
Legal business name
SHANNON O. ALTURAS, O.D., A PROFESSIONAL CORPORATION
Doing business as
Eyedeal Vision Optometry
Practice address
3658 S Nogales St
West Covina, CA 91792-2714
Phone
(626) 539-3543
Fax
(866) 597-7977
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Authorized official

Name
Dr. Shannon Olario Alturas, O.D.NPI 1609095090
Title
Ceo
Phone
(626) 539-3543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12898 T CA Primary

Addresses

Primary practice location

3658 S Nogales St
West Covina, CA 91792-2714

Mailing address

3658 S Nogales St
West Covina, CA 91792-2714
Phone (626) 539-3543

Other names 1

  • Eyedeal Vision Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

3658 S Nogales St
West Covina, CA 91792
Phone (626) 461-7300

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1912203787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3658 S NOGALES ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917922714",
            "telephone_number": "626-539-3543",
            "fax_number": "866-597-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3658 S NOGALES ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917922714",
            "telephone_number": "626-539-3543",
            "fax_number": "866-597-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON O. ALTURAS, O.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "ALTURAS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "OLARIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-539-3543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12898 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyedeal Vision Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.