NPIMap

Organization Active NPI

Imperial Valley Optometric Corporation

  • Optometrist
  • Citrus Heights, CA
National Provider Identifier
1023909702
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
IMPERIAL VALLEY OPTOMETRIC CORPORATION
Practice address
5500 Sunrise Blvd Ste 400
Citrus Heights, CA 95610-7643
Phone
(916) 726-2020
NPI assigned
Jul 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Henry LinNPI 1861405664
Title
President
Phone
(619) 295-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5500 Sunrise Blvd Ste 400
Citrus Heights, CA 95610-7643

Mailing address

5500 Sunrise Blvd Ste 400
Citrus Heights, CA 95610-7643
Phone (916) 726-2020

Other names 1

  • Eye Designs Optometry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Imperial Valley Optometric Corporation14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

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": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1023909702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 SUNRISE BLVD STE 400",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107643",
            "telephone_number": "916-726-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 SUNRISE BLVD STE 400",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107643",
            "telephone_number": "916-726-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL VALLEY OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-295-2900"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Designs Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.