Organization Active NPI

Santa Clarita Family Optometry, Inc

  • Optometrist
  • Valencia, CA
National Provider Identifier
1003110594
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12580 Issued in CA
Legal business name
SANTA CLARITA FAMILY OPTOMETRY, INC
Practice address
23138 Valencia Blvd
Valencia, CA 91355-1716
Phone
(661) 255-2050
Fax
(661) 255-0729
NPI assigned
Dec 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Dr. Carol Hanna Mikhail, O.D.
Title
Ceo/Optometrist
Phone
(661) 255-2050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12580 CA Primary

Addresses

Primary practice location

23138 Valencia Blvd
Valencia, CA 91355-1716

Mailing address

23138 Valencia Blvd
Valencia, CA 91355-1716
Phone (661) 255-2050

National Provider Directory

National Provider Directory

Locations

23138 Valencia Blvd
Valencia, CA 91355
Phone (661) 255-2050

Practitioners & affiliated clinicians

Practitioners 1

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": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1003110594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23138 VALENCIA BLVD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551716",
            "telephone_number": "661-255-2050",
            "fax_number": "661-255-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23138 VALENCIA BLVD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551716",
            "telephone_number": "661-255-2050",
            "fax_number": "661-255-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARITA FAMILY OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "HANNA",
        "authorized_official_title_or_position": "CEO/OPTOMETRIST",
        "authorized_official_telephone_number": "661-255-2050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.