Organization Active NPI

Victor F. Child, an Optometric Corp

  • Optometrist
  • Sonora, CA
National Provider Identifier
1124288683
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5372TPA Issued in CA
Legal business name
VICTOR F. CHILD, AN OPTOMETRIC CORP
Practice address
14550 Mono Way
Sonora, CA 95370-8852
Phone
(209) 532-7192
Fax
(209) 532-5836
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Ms. Carolyn Spell
Title
Insurance Biller
Phone
(209) 532-7192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT5372TPA CA Primary

Addresses

Primary practice location

14550 Mono Way
Sonora, CA 95370-8852

Mailing address

14550 Mono Way
Sonora, CA 95370-8852
Phone (209) 532-7192

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1124288683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14550 MONO WAY",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953708852",
            "telephone_number": "209-532-7192",
            "fax_number": "209-532-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 MONO WAY",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953708852",
            "telephone_number": "209-532-7192",
            "fax_number": "209-532-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR F. CHILD, AN OPTOMETRIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "SPELL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "INSURANCE BILLER",
        "authorized_official_telephone_number": "209-532-7192",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT5372TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.