Provider Demographics
NPI:1053569244
Name:STEVEN J. SIMPSON OD & THOMAS R. SCRUGGS OD
Entity type:Organization
Organization Name:STEVEN J. SIMPSON OD & THOMAS R. SCRUGGS OD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFF. MGR.
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-652-2020
Mailing Address - Street 1:40680 CALIFORNIA OAKS RD STE 1A
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5755
Mailing Address - Country:US
Mailing Address - Phone:951-600-1114
Mailing Address - Fax:951-600-1242
Practice Address - Street 1:40680 CALIFORNIA OAKS RD STE 1A
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5755
Practice Address - Country:US
Practice Address - Phone:951-600-1114
Practice Address - Fax:951-600-1242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9361T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty