Justine Simon Bailey, OD, FCOVD

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

33596 Issued in CA

Practice address

8950 Villa la Jolla Dr Ste B128
La Jolla, CA 92037-1705

Phone

(408) 406-7334

NPI assigned

Jul 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carole L. Hong OD Inc.

  • Optometrist
  • San Carlos, CA
  • NPI 1952847352
  NPD
• Carole L. Hong & Kristina Stasko, PTRS

  • Corneal and Contact Management Optometrist
  • San Carlos, CA
  • NPI 1891976262
  NPD (past)
• Ralph E Schrock Optometric Corporation

  • Optometrist
  • La Jolla, CA
  • NPI 1386702553
  NPD (past)

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1962886887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE B128",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371705",
            "telephone_number": "408-406-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE B128",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371705",
            "telephone_number": "408-406-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JUSTINE",
        "middle_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "OD, FCOVD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "56 008342",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "33596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramin Bagheri, M.D.
• John Nader Bahadorani, M.D.
• Mitra Blair Bahaee, MD
• Shiyu Sherry Bai-Tong, M.D.
• April Kathleen Bailey, NP
• Patricia Bainter, MD
• David Ryan Bakal
• Adam Baker, M.D.
• Dale Arlene Baker, PH.D.
• Lindzee Baker, PA-C

• All providers in La Jolla, CA
• Vision Therapy Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.