Profluent Systems Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

PROFLUENT SYSTEMS INC

Practice address

5887 Lone Tree Way Ste M
Antioch, CA 94531-8625

Phone

(925) 757-2992

Fax

(925) 757-2922

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Renee Vonarx, RDO

Title

Dispensing Optician

Phone

(925) 757-2992

Specialties & licenses 1

Addresses

Other names 1

• Mystique Eyewear Doing business as

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063530210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5887 LONE TREE WAY STE M",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318625",
            "telephone_number": "925-757-2992",
            "fax_number": "925-757-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5887 LONE TREE WAY STE M",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318625",
            "telephone_number": "925-757-2992",
            "fax_number": "925-757-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFLUENT SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VONARX",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DISPENSING OPTICIAN",
        "authorized_official_telephone_number": "925-757-2992",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mystique Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Antioch, CA
• Providers in Antioch, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.