Organization Active NPI

Sheila M. Bartlett a Professional Corporation

  • Optometrist
  • Victorville, CA
National Provider Identifier
1003015041
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT4789TPA Issued in CA
Legal business name
SHEILA M. BARTLETT A PROFESSIONAL CORPORATION
Practice address
15908 Bear Valley Rd
Victorville, CA 92395-9547
Phone
(760) 243-4559
Fax
(760) 243-2052
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sheila M Bartlett, OD
Title
President
Phone
(760) 243-4559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT4789TPA CA Primary

Addresses

Primary practice location

15908 Bear Valley Rd
Victorville, CA 92395-9547

Mailing address

15908 Bear Valley Rd
Victorville, CA 92395-9547
Phone (760) 243-4559

Other names 1

  • Advanced Optometric Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

15908 Bear Valley Rd
Victorville, CA 92395
Phone (760) 243-4559

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1003015041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15908 BEAR VALLEY RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923959547",
            "telephone_number": "760-243-4559",
            "fax_number": "760-243-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15908 BEAR VALLEY RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923959547",
            "telephone_number": "760-243-4559",
            "fax_number": "760-243-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA M. BARTLETT A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-243-4559",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT4789TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Optometric Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.