Mountain Vista Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

D6920 Issued in CA

Legal business name

MOUNTAIN VISTA OPTICAL

Practice address

10 E State St
Redlands, CA 92373-4754

Phone

(951) 692-1323

Fax

(866) 258-0370

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Patricia A Thormahlen, OPTICAN

Title

President

Phone

(951) 692-1323

Specialties & licenses 1

Addresses

Tax ID family

Mountain Vista Optical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Mountain Vista Optical

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1649394545
  NPD tax ID
• Mountain Vista Optical

  • Eyewear Supplier
  • Redlands, CA
  • NPI 1700900602
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrica Thormahlen, OPTICAN

  • Optician
  • Redlands, CA
  • NPI 1891819793
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114041688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 1341",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "92373",
            "telephone_number": "951-692-1323",
            "fax_number": "866-258-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E STATE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734754",
            "telephone_number": "951-692-1323",
            "fax_number": "866-258-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VISTA OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THORMAHLEN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-692-1323",
        "authorized_official_credential": "OPTICAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "D6920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John W Mortensen, M.D.
• Joel R. Morton, D.O.
• Rachel Moskowitz, MFT
• Alycia Nicole Moss, RDHAP
• Mountain View Services, Inc.
• Mountain Vista Optical
• Movement Evolved Physical Therapy P.C.
• Movement Recentered Physical Therapy
• Katelyn Moyer, DMD
• Aaron James Mozqueda

• Eyewear Supplier in Redlands, CA
• Providers in Redlands, CA by specialty
• Eyewear Supplier 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.