DR. JEFFREY A HALL (NPI# 1902860638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902860638 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY A HALL |
| Credential | O.D. |
| Practice Address |
8312 Lake Murray Blvd Ste C San Diego CA 92119 |
| Practice Telephone | 6196970481 |
| Mailing Telephone | 6196970481 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2012-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
6242T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | MH0637085 | 01 |
| CA | MEDI-CAL | SD 0062420 | 01 |
| CA | 81506001 | MEDI-CAL SUPPLIER | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376880732 | Jeffrey Wayne Hall | Chiropractor | 3604 Sawmill Dr, Austin, TX 78749-6948 | 2013-01-05 |
| 1053547042 | Jeffrey David Hall | Dentist | 420 S Broadway St Ste 104, Forest City, NC 28043-4092 | 2009-06-03 |
| 1528273067 | Jeffrey Warren Hall | Specialist | 2382 Sadler Rd, St 1, Fernandina Beach, FL 32034-4548 | 2007-05-10 |
| 1578616355 | Jeffrey W Hall | Chiropractor | 6923 39th Avenue, Kenosha, WI 53142-7129 | 2007-01-18 |
| 1912929365 | Jeffrey Hall | Anesthesiology | 8132 Cordova Rd, Cordova, TN 38016 | 2006-07-24 |
| 1154308765 | Jeffrey Wayne Hall | Family Medicine | 3209 Colonial Drive, Columbia, SC 29203 | 2005-12-23 |
| 1609868496 | Jeffrey Maurice Hall | Surgery | 18245 E 10 Mile Rd, Suite 130, Roseville, MI 48066-5807 | 2005-08-17 |
| 1568467512 | Jeffrey P Hall | Podiatrist | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2005-06-16 |
| 1740819580 | Jeffrey Robert Hall II | Student in an Organized Health Care Education/Training Program | 701 Park Ave South - Medicine, Minneapolis, MN 55415-1829 | 2020-04-03 |
| 1750861605 | Jeffrey Hall | Pharmacy Technician | 265 S Eagle Rd, Eagle, ID 83616-5907 | 2018-08-20 |
| Street Address |
8312 LAKE MURRAY BLVD STE C |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386632602 | Kenneth Michael Greenberg | Chiropractor | 8312 Lake Murray Blvd, Suite O, San Diego, CA 92119-3435 | 2005-10-11 |
| 1134666209 | Ryan Hulbert | Chiropractor | 8312 Lake Murray Blvd, Ste O, San Diego, CA 92119 | 2017-01-26 |
| 1407109713 | Kristi Ogden | Massage Therapist | 8312 Lake Murray Blvd, Ste H, San Diego, CA 92119-3435 | 2012-10-24 |
| 1154552560 | Jeffrey A Hall O D Inc | Optometrist | 8312 Lake Murray Blvd, Suite C, San Diego, CA 92119-3435 | 2009-08-03 |
| 1548392053 | Guy Lamar Fox | Dentist | 8312 Lake Murray Blvd, Suite E, San Diego, CA 92119-3435 | 2007-03-10 |
| 1477685980 | Amy Lynn Fox | Dentist | 8312 Lake Murray Blvd, Suite E, San Diego, CA 92119-3435 | 2007-03-10 |
| 1982658993 | Jane Granzee Mergens | Acupuncturist | 8312 Lake Murray Blvd, Suite O, San Diego, CA 92119-3435 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417462565 | Celena Katherine Wheeler | Behavior Technician | 6965 Golfcrest Dr, San Diego, CA 92119 | 2017-12-12 |
| 1932437969 | Halyna Yevgenivna West | Internal Medicine | 6280 Jackson Drive, Suite #8, San Diego, CA 92119 | 2009-12-02 |
| 1346406303 | Marcel T. Bougher, Dds, Inc | Clinic/Center | 6280 Jackson Drive Suite 1, San Diego, CA 92119 | 2008-07-30 |
| 1316163819 | Mark W Christensen | Dentist | 7187 Navajo Rd., Suite A, San Diego, CA 92119 | 2007-04-17 |
| 1154429306 | Zoe Cristina Suciu | Dentist | 7424 Jackson Dr, #6, San Diego, CA 92119 | 2006-09-20 |
| 1255442448 | Ashley Allen Goodman | Dentist | 8736 Lake Murry Blvd, Ste 108, San Diego, CA 92119 | 2006-08-31 |
| 1811006067 | Ashley A Goodman Dds A Professional Corporation | Dentist | 8736 Lake Murray Blvd, Ste 108, San Diego, CA 92119 | 2006-08-30 |
| 1205943495 | Michael Anthony Stefanidis | Dentist | 7424 Jackson Dr #8, San Diego, CA 92119 | 2006-08-24 |
| 1720003056 | Miranda B Williams | Psychologist | 7290 Navajo Rd Ste 105, San Diego, CA 92119 | 2006-07-13 |
| 1003301391 | Allen Chung | Optometrist | 8312 Lake Murray Blvd Ste C, San Diego, CA 92119 | 2018-06-28 |
| Find all providers in zip 92119 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1144369372 | Mary Mcmains Od Med An Optometric Corporation | Optometrist | 3355 4th Ave, San Diego, CA 92103-5703 | 2007-02-05 |
| 1114082112 | David J Suder | Optometrist | 10145 Pacific Heights Blvd, Ste 700, San Diego, CA 92121-4234 | 2006-12-27 |
| 1417922881 | Paul Jaimey Lavin | Optometrist | 655 Saturn Blvd, Ste. H, San Diego, CA 92154-4734 | 2006-02-21 |
| 1689661571 | Richard N.v. Phung | Optometrist | 9880 Hibert St, Suite E-1, San Diego, CA 92131-1068 | 2005-10-05 |
| 1588157952 | Brian Chou, O.d., Inc. | Optometrist | 2020 Camino Del Rio N Ste 109, San Diego, CA 92108-1542 | 2018-06-11 |
| 1932520889 | Eyeloha Eye Care Optometry | Optometrist | 1018 Grand Ave, San Diego, CA 92109-4117 | 2013-12-19 |
| 1851617567 | Michael A Goldsmid, O.d., An Optometric Corporation | Optometrist | 3750 Sports Arena Blvd, #9, San Diego, CA 92110-5129 | 2010-04-20 |
| 1356507503 | Eye Studio Optometry Inc | Optometrist | 4475 University Ave, San Diego, CA 92105-1731 | 2008-08-06 |
| 1699987768 | Eric M. White Od, Inc | Optometrist | 5075 Ruffin Rd Ste B, San Diego, CA 92123-1698 | 2007-05-03 |
| Find all providers in SAN DIEGO | ||||
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| 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.