NPIMap

Organization Active NPI

Jon Sills

  • Optometrist
  • Ventura, CA
National Provider Identifier
1003957705
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6804 Issued in CA
Legal business name
JON SILLS
Practice address
4601 Telephone Rd Ste 109
Ventura, CA 93003-5671
Phone
(805) 642-4185
Fax
(805) 647-7467
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Dr. Jon Sills, O.D.
Title
Owner
Phone
(805) 642-4185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6804 CA Primary

Addresses

Primary practice location

4601 Telephone Rd Ste 109
Ventura, CA 93003-5671

Mailing address

4601 Telephone Rd Ste 109
Ventura, CA 93003-5671
Phone (805) 642-4185

Other identifiers 1

IdentifierTypeStateIssuer
3364OtherCAMEDICAL EYE SERVICES

Other names 1

  • Family Vision Optometric Center Doing business as

National Provider Directory

National Provider Directory

Locations

4601 Telephone Rd
Ste 109
Ventura, CA 93003
Phone (805) 642-4185

Practitioners & affiliated clinicians

Practitioners 4

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1003957705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 TELEPHONE RD STE 109",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035671",
            "telephone_number": "805-642-4185",
            "fax_number": "805-647-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 TELEPHONE RD STE 109",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035671",
            "telephone_number": "805-642-4185",
            "fax_number": "805-647-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON SILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "SILLS",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-642-4185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "3364",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.