Oconnor OD Optometry Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OPT6766TG Issued in CA

Legal business name

OCONNOR OD OPTOMETRY CORPORATION

Practice address

3840 Cross Creek Rd
Malibu, CA 90265-4933

Phone

(310) 994-9201

NPI assigned

May 20, 2014

Last updated

May 20, 2014By 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

Dr. Gregory Michael O'Connor, O.D.NPI 1285760629

Title

President

Phone

(310) 994-9201

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, and the practitioner matching its NPPES authorized official.

• Gregory Michael O'Connor, O.D.

  • Optometrist
  • Malibu, CA
  • NPI 1285760629
  Authorized official Same address or phone

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1932511383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 CROSS CREEK RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654933",
            "telephone_number": "310-994-9201",
            "fax_number": "310-456-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 CROSS CREEK RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654933",
            "telephone_number": "310-994-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONNOR OD OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-994-9201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "OPT6766TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Niebergall, DDS INC
• Gregory Michael O'Connor, O.D.
• Amanda Leigh O'Hare, PHARMD
• Oceanside Transitional Living in Malibu
• Jacqueline Rosaly Ochoa, M.A.
• Oconnor Optometric Inc
• Ola Wellness Retreat, LLC
• Ola Wellness Retreat, LLC
• Ola Wellness Retreat, LLC
• Optum Behavioral Care of California, P.C.

• Clinic/Center in Malibu, CA
• Providers in Malibu, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.