NPIMap

Organization Active NPI

Richard Vanover Optometry

  • Optometrist
  • Stockton, CA
National Provider Identifier
1023409927
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9667T Issued in CA
Legal business name
RICHARD VANOVER OPTOMETRY
Practice address
3133 W March LN Ste 2020
Stockton, CA 95219-2361
Phone
(209) 951-0820
Fax
(209) 951-2348
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Dr. Richard Vanover, O.D.NPI 1528022035
Title
Owner
Phone
(209) 951-0820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9667T CA Primary

Addresses

Primary practice location

3133 W March LN Ste 2020
Stockton, CA 95219-2361

Mailing address

3133 W March LN Ste 2020
Stockton, CA 95219-2361
Phone (209) 951-0820

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1023409927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 W MARCH LN STE 2020",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192361",
            "telephone_number": "209-951-0820",
            "fax_number": "209-951-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 W MARCH LN STE 2020",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192361",
            "telephone_number": "209-951-0820",
            "fax_number": "209-951-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD VANOVER OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "VANOVER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-951-0820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9667T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.