Individual provider Active NPI

Vincent Cano, O.D.

  • Optometrist
  • Mission Viejo, CA
National Provider Identifier
1114369709
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15363T Issued in CA
Practice address
25800 Jeronimo Rd Ste 701
Mission Viejo, CA 92691-7918
Phone
(559) 859-8856
NPI assigned
Jul 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 15363T CA
Optometrist 152W00000X 15363T CA Primary

Addresses

Primary practice location

25800 Jeronimo Rd Ste 701
Mission Viejo, CA 92691-7918

Mailing address

25800 Jeronimo Rd Ste 701
Mission Viejo, CA 92691-7918
Phone (559) 859-8856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190426000542 CA Practitioner - Optometry 6800021106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fifth Optometric Care of CaliforniaGroup PAC ID 4284096298, 22 clinicians

Practice addresses (Care Compare)

22681 Lake Forest Dr
Suite A2
Lake Forest, CA 92630-1799
Phone (949) 837-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15363TCAMDOptometrist
15363CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fifth Optometric Care of California Optometrist Current Accepting new patients
Fifth Optometric Care of California Optometrist CurrentSince Sep 24, 2023 Accepting new patients
Fifth Optometric Care of California Optometrist CurrentSince Sep 24, 2023 Accepting new patients
Third Optometric Care of California PC Optometrist Past Accepting new patients
Fifth Optometric Care of California Optometrist Past Accepting new patients
Third Optometric Care of California Optometrist Past Accepting new patients
Third Optometric Care of California PC Optometrist Past Accepting new patients
Fourth Optometric Care of California Optometrist Past Accepting new patients
Fifth Optometric Care of California Optometrist Past Accepting new patients

Locations

4783 Commons Way
Ste C
Calabasas, CA 91302
Phone (818) 222-9465

22681 Lake Forest Dr
Ste A2
Lake Forest, CA 92630
Phone (949) 837-2121

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1114369709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25800 JERONIMO RD STE 701",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917918",
            "telephone_number": "559-859-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25800 JERONIMO RD STE 701",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917918",
            "telephone_number": "559-859-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANO",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "15363T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15363T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.