Active NPI
Enrique Metta Fallena, OPTICIAN
- Optician
- Chula Vista, CA
National Provider Identifier
1932738481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 40581
- Practice address
- 651 Palomar St Ste A17
Chula Vista, CA 91911-2663 - Phone
- (619) 992-4291
- Fax
- (619) 422-2385
- NPI assigned
- Apr 6, 2020
- Last updated
- Apr 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 40581 | CA | Primary |
Addresses
Primary practice location
651 Palomar St Ste A17
Chula Vista, CA 91911-2663
Mailing address
651 Palomar St Ste A17
Chula Vista, CA 91911-2663
Phone (619) 992-4291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40581 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Inc | Optician | Current | Accepting new patients |
Locations
651 Palomar St
Ste A17
Chula Vista, CA 91911
Phone (619) 422-2118
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1932738481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 PALOMAR ST STE A17",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919112663",
"telephone_number": "619-992-4291",
"fax_number": "619-422-2385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 PALOMAR ST STE A17",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919112663",
"telephone_number": "619-992-4291",
"fax_number": "619-422-2385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METTA FALLENA",
"first_name": "ENRIQUE",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-06",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "40581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.