PRINCIPLE OPTOMETRY GROUP,PC (NPI# 1649752072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649752072 |
| Entity Type | Organization |
| Organization Name | PRINCIPLE OPTOMETRY GROUP,PC |
| Other Organization Name | MODERN ICARE OPTOMETRY |
| Practice Address |
44435 Town Center Way Suite B Palm Desert CA 92260 |
| Mailing Address |
480 E Avenida Palmera Palm Springs CA 92264 |
| Practice Telephone | 2814144685 |
| Mailing Telephone | 2814144685 |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2018-09-01 |
| Authorized Official Name | DR. SUSAN SHAHRIARI (OWNER/OPTOMETRIST) |
| Authorized Official Telephone | 2814144685 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| MODERN ICARE OPTOMETRY | Doing Business As Name - Organization |
| Street Address |
44435 TOWN CENTER WAY SUITE B |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457353823 | Peter S. Spiegel | Ophthalmology | 44435 Town Center Way, Suite B, Palm Desert, CA 92260-2711 | 2005-08-15 |
| 1598984502 | Kirshner & Spiegel Inc., Apc | Ophthalmology | 44435 Town Center Way, Suite B, Palm Desert, CA 92260-2711 | 2007-04-25 |
| 1134121692 | Lori L. Kirshner | Ophthalmology | 44435 Town Center Way, Suite B, Palm Desert, CA 92260-2711 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414202 | Arianna D Aguilar | Behavioral Analyst | 7410 Highway 111 Suite 102, Palm Desert, CA 92260 | 2020-10-12 |
| 1063053098 | Sylvia Ann Trapuzzano | Marriage & Family Therapist | 74-040 Highway IIi, Suite L-202, Palm Desert, CA 92260 | 2019-10-01 |
| 1477011153 | Alexis Ivonne Corrales | Behavior Technician | 74-710 Ca-111, Ste #102, Palm Desert, CA 92260 | 2019-03-12 |
| 1992272421 | Sarah Baik | Pharmacist | 72314 Ca-111, Palm Desert, CA 92260 | 2018-11-02 |
| 1104329820 | Oz Med, Inc. | Pharmacy | 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 | 2018-03-09 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1225540180 | Dr Fatemeh Hadjian D.d.s. P.a. | Dentist | 74000 Country Club Ste B1, Palm Desert, CA 92260 | 2017-11-01 |
| 1871032185 | Brianne Lee Stoddard | Behavioral Analyst | 41555 Cook Street, Suite 100, Palm Desert, CA 92260 | 2017-02-20 |
| 1275072720 | Michael Giordano Jerez | Chiropractor | 72840 Ca - 111 Suite 2, Palm Desert, CA 92260 | 2017-02-16 |
| 1982150785 | Joshua W Cartter Dds Inc | Dentist | 72415 Park View, Palm Desert, CA 92260 | 2016-08-31 |
| Find all providers in zip 92260 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881177293 | Iseeu Optometry | Optometrist | 72840 Highway 111 # F201, Palm Desert, CA 92260-3324 | 2018-09-11 |
| 1053830158 | Kathy Mao | Optometrist | 44651 Village Ct Ste 102, Palm Desert, CA 92260-3821 | 2017-09-11 |
| 1164875571 | Vi Nguyen | Optometrist | 72840 Highway 111 Ste P315, Palm Desert, CA 92260 | 2016-07-20 |
| 1720462245 | Alyssa Buchanan | Optometrist | 36921 Cook St Ste 104, Palm Desert, CA 92211-6070 | 2015-07-14 |
| 1801154653 | Thanh-vi Nguyen, O.d., Inc. | Optometrist | 72880 Highway 111, Palm Desert, CA 92260-3313 | 2012-04-30 |
| 1891976379 | Lawrence C Watson Od A Professional Optometric Corp. | Optometrist | 73211 Fred Waring Dr Ste 102, Palm Desert, CA 92260-2871 | 2007-11-26 |
| 1609069301 | Khodai Optometric Vision Center | Optometrist | 126 Fresco Ln, Palm Desert, CA 92211-0772 | 2007-08-25 |
| 1891916961 | Gordon F. Bateman | Optometrist | 73111 Country Club Dr Ste B3, Palm Desert, CA 92260-2340 | 2007-05-02 |
| 1710006465 | Patrick J Lydon | Optometrist | 72-393 Hwy.111, Ste A, Palm Desert, CA 92260 | 2007-03-27 |
| 1851437198 | Gary L Price | Optometrist | 73260 El Paseo, Suite 2b, Palm Desert, CA 92260 | 2007-01-30 |
| Find all providers in PALM DESERT | ||||
| City | PALM DESERT |
| Zip Code | 92260 |
Please comment or provide details below to improve the information on PRINCIPLE OPTOMETRY GROUP,PC.
| 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.