DR. SKINNER OPTOMETRY P.C. (NPI# 1326302316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326302316 |
| Entity Type | Organization |
| Organization Name | DR. SKINNER OPTOMETRY P.C. |
| Practice Address |
8275 Sierra Ave Suite 103 Fontana CA 92335-3557 |
| Mailing Address |
Po Box 2200 Fontana CA 92334-2200 |
| Practice Telephone | 9098221115 |
| Practice Fax Number | 9098226346 |
| Mailing Telephone | 9098221115 |
| Mailing Fax Number | 9098226346 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |
| Authorized Official Name | DR. MARK LOWREY SKINNER (CEO) |
| Authorized Official Telephone | 9098221115 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 9363T | CA | Ambulatory Health Care Facilities |
| Street Address |
8275 SIERRA AVE SUITE 103 |
| City | FONTANA |
| State | CA |
| Zip Code | 92335-3557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952339145 | Mark Lowrey Skinner | Optometrist | 8275 Sierra Ave, Suite 103, Fontana, CA 92335-3557 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1679799852 | Don's Acupuncture Clinic | Clinic/Center | 8856 Sierra Ave, Fontana, CA 92335-8649 | 2007-04-17 |
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| 1285955278 | Thawat Eosakul,m.d.inc. | Clinic/Center | 16860 Seville Ave, Fontana, CA 92335-3561 | 2010-06-14 |
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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.