Oconnor Optometric Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OCONNOR OPTOMETRIC INC

Practice address

23401 Civic Center Way
Unit 2B
Malibu, CA 90265

Phone

(424) 235-2488

NPI assigned

Aug 13, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Salvatore Vincente Sampino

Title

Practice Manager

Phone

(310) 994-9202

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Michael O'Connor, O.D.

  • Optometrist
  • Malibu, CA
  • NPI 1285760629
  NPD

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1912518887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23401 CIVIC CENTER WAY",
            "address_2": "UNIT 2B",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "90265",
            "telephone_number": "424-235-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23401 CIVIC CENTER WAY",
            "address_2": "UNIT 2B",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "90265",
            "telephone_number": "424-235-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONNOR OPTOMETRIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "SAMPINO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "VINCENTE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "310-994-9202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Michael O'Connor, O.D.
• Amanda Leigh O'Hare, PHARMD
• Oceanside Transitional Living in Malibu
• Jacqueline Rosaly Ochoa, M.A.
• Oconnor OD Optometry Corporation
• Ola Wellness Retreat, LLC
• Ola Wellness Retreat, LLC
• Ola Wellness Retreat, LLC
• Optum Behavioral Care of California, P.C.
• Our Common Heart

• Optometrist in Malibu, CA
• Providers in Malibu, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.