Trevor K Irish OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

13477T Issued in CA

Legal business name

TREVOR K IRISH OD INC

Doing business as

Monte Vista Optometry

Practice address

991 E Monte Vista Ave
Turlock, CA 95382-0636

Phone

(209) 634-8591

Fax

(209) 634-8596

NPI assigned

Feb 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Trevor K Irish, O.D.

Title

Optometrist

Phone

(209) 634-8591

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Monte Vista Optometry Doing business as

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1114249026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 E MONTE VISTA AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953820636",
            "telephone_number": "209-634-8591",
            "fax_number": "209-634-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 E MONTE VISTA AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953820636",
            "telephone_number": "209-634-8591",
            "fax_number": "209-634-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVOR K IRISH OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "IRISH",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "209-634-8591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13477T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5033839",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monte Vista Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Turlock, CA
• Providers in Turlock, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.