Nuvision Laser Medical Associates, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G57630 Issued in CA

Legal business name

NUVISION LASER MEDICAL ASSOCIATES, INC.

Practice address

7 W Foothill Blvd
Suite 3
Arcadia, CA 91006-2367

Phone

(773) 359-3334

Fax

(626) 357-9020

NPI assigned

Jul 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lori Darlene Moore, M.D.NPI 1972510196

Title

Owner

Phone

(626) 357-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

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

• Lori Darlene Moore, M.D.

  • Ophthalmology Physician
  • Arcadia, CA
  • NPI 1972510196
  Medicare reassignment NPD Authorized official
• Kozur Irene Vazagov, OD

  • Optometrist
  • Arcadia, CA
  • NPI 1851476865
  NPD (past)

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1023208402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W FOOTHILL BLVD",
            "address_2": "SUITE 3",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062367",
            "telephone_number": "773-359-3334",
            "fax_number": "626-357-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W FOOTHILL BLVD",
            "address_2": "SUITE 3",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062367",
            "telephone_number": "773-359-3334",
            "fax_number": "626-357-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUVISION LASER MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-357-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G57630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G576300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Nune, M.D.
• Ariana G Nunez
• Baraah Nureddin
• Nutrition by Nadia, LLC
• Nutrition Fit for Life, Inc.
• Manasseh Chibuzor Nwaigwe Jr., D.C.
• Serena Nye
• Gerald Bernard O'Day, PH.D.
• Colleen O'Hara, MS. LMFT
• Teresa A O'Neal-Payne, L.M.F.T.

• Ophthalmology Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.