Organization Active NPI

Firstsightvision Services, Inc.

  • Optometrist
  • Duarte, CA
National Provider Identifier
1073793337
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FIRSTSIGHTVISION SERVICES, INC.
Practice address
1600 Mountain Ave
Duarte, CA 91010-2757
Phone
(626) 359-1648
Fax
(626) 357-3179
NPI assigned
Nov 5, 2007
Organization subpart
Yes
Parent organization
FIRSTSIGHTVISION SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 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

1600 Mountain Ave
Duarte, CA 91010-2757

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 Vison Services Inc150 organizations share this tax ID, including this one
Part of
Firstsight Vison Services 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

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1073793337",
    "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": "1600 MOUNTAIN AVE",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102757",
            "telephone_number": "626-359-1648",
            "fax_number": "626-357-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTSIGHTVISION SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRSTSIGHTVISION SERVICES, INC.",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "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 Duarte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.