NPIMap

Organization Active NPI

Firstsight Vision Services, Inc.

  • Optometrist
  • Manteca, CA
National Provider Identifier
1063692259
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FIRSTSIGHT VISION SERVICES, INC.
Practice address
1205 S Main St
Manteca, CA 95337-5748
Phone
(209) 824-2131
Fax
(209) 823-4409
NPI assigned
Nov 6, 2007
Organization subpart
Yes
Parent organization
FIRSTSIGHT VISION SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Mr. Joseph Heidelman
Title
Cfo
Phone
(909) 920-5008

Specialties & licenses 1

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

Addresses

Primary practice location

1205 S Main St
Manteca, CA 95337-5748

Mailing address

1202 Monte Vista Ave Ste 17
Upland, CA 91786-8216
Phone (909) 920-5008

National Provider Directory

National Provider Directory
Tax ID family
Firstsight Vision Srvices Inc150 organizations share this tax ID, including this one
Part of
Firstsight Vision Srvices Inc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1205 S Main St
Manteca, CA 95337
Phone (209) 824-2121

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1063692259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MONTE VISTA AVE STE 17",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868216",
            "telephone_number": "909-920-5008",
            "fax_number": "888-241-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S MAIN ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953375748",
            "telephone_number": "209-824-2131",
            "fax_number": "209-823-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTSIGHT VISION SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRSTSIGHT VISION SERVICES, INC",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "HEIDELMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-920-5008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.