OPTOMETRIC ODYSSEY (NPI# 1104346642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104346642 |
| Entity Type | Organization |
| Organization Name | OPTOMETRIC ODYSSEY |
| Practice Address |
2200 Colorado Ave Ste E Santa Monica CA 90404-3589 |
| Practice Telephone | (310) 828-6232 |
| Practice Fax Number | 3108285352 |
| Mailing Telephone | 3108286232 |
| Mailing Fax Number | 3108285352 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |
| Authorized Official Name | DONALD FERRO (OPTOMETRIST) |
| Authorized Official Telephone | 3108286262 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
2200 COLORADO AVE STE E |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-3589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164925434 | Reh Consulting Services | Clinic/Center | 730 Arizona Ave Ste 100, Santa Monica, CA 90401-1702 | 2018-03-13 |
| 1356752950 | Joel Sercarz, M.d. Inc | Clinic/Center | 637 Euclid St, Santa Monica, CA 90402-2923 | 2014-05-16 |
| 1932465432 | Institute of Neurosurgical Innovation Inc A Non-profit Public | Clinic/Center | 2001 Santa Monica Blvd # 760w, Santa Monica, CA 90404 | 2012-04-09 |
| 1861643900 | Lauren Swerdloff, Md A Medical Professional Corp | Clinic/Center | 1821 Wilshire Blvd Ste 220, Santa Monica, CA 90403-5627 | 2008-10-07 |
| 1982064481 | Steven M Kastenbaum Od Phd Professional Optometric Corporation | Clinic/Center | 2901 Wilshire Blvd, Suite 100, Santa Monica, CA 90403-4901 | 2016-02-26 |
| 1659744951 | Richard P Frieder Md | Clinic/Center | 2121 Santa Monica Blvd, Margie Peterson Breast Center, Santa Monica, CA 90404 | 2015-11-09 |
| 1659649150 | Smita R. Gupta Md Inc | Clinic/Center | 1247 7th St, Suite 300, Santa Monica, CA 90401-1642 | 2011-12-12 |
| 1114232691 | J David Edwards Md Inc | Clinic/Center | 2001 Santa Monica Blvd, Suite 1265w, Santa Monica, CA 90404-2102 | 2010-08-09 |
| 1346497328 | University Cardiovascular Medical Group | Clinic/Center | 1304 15th St, Suite 102, Santa Monica, CA 90404-1809 | 2008-08-21 |
| 1255511242 | Lawrence H Matt Md Inc | Clinic/Center | 1450 10th St, Suite 202, Santa Monica, CA 90401-2857 | 2007-11-07 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
Please comment or provide details below to improve the information on OPTOMETRIC ODYSSEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.