Philip B Smith OD, Apc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PHILIP B SMITH OD, APC

Practice address

1855 1St Ave
Suite 100
San Diego, CA 92101

Phone

(619) 297-4331

Fax

(619) 297-3558

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Philip B Smith, O.D.

Title

Owner

Phone

(619) 297-4331

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1942475231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 1ST AVE",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92101",
            "telephone_number": "619-297-4331",
            "fax_number": "619-297-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 1ST AVE",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92101",
            "telephone_number": "619-297-4331",
            "fax_number": "619-297-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP B SMITH OD, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-297-4331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD000300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Busara Phersayaphai
• Elizabeth Anne Philbin, PT, DPT
• Sandy Paloma Philbin, MSW
• Megan Margaret Philbrick, AGACNP
• Philip Azer, M.D., a Professional Corporation
• Philip G. Menna
• Philip G. Menna, D.D.S., Inc
• Philip J Krueger MD Inc
• Aerin Mathew Philip, MD
• Thomas Philip, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.