Organization Active NPI

Vansuch Optometric, Inc.

Doing business as Dr. Vansuch, O.D, Optometric Vision Centers

  • Corneal and Contact Management Optometrist
  • Orange, CA
National Provider Identifier
1134360563
Registry record updated Mar 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
6373T Issued in CA
Legal business name
VANSUCH OPTOMETRIC, INC.
Doing business as
Dr. Vansuch, O.D, Optometric Vision Centers
Practice address
128 E Katella Ave Ste 100
Orange, CA 92867-4850
Phone
(714) 997-3535
Fax
(714) 771-4870
NPI assigned
Mar 15, 2009
Last updated
Mar 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2009

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

Authorized official

Name
Dr. Joseph J Vansuch, O.D.NPI 1104807809
Title
President
Phone
(714) 997-3535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 6373T CA Primary

Addresses

Primary practice location

128 E Katella Ave Ste 100
Orange, CA 92867-4850

Mailing address

128 E Katella Ave Ste 100
Orange, CA 92867-4850
Phone (714) 997-3535

Other names 1

  • Dr. Vansuch, O.D, Optometric Vision Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140306001399 CA Part B Supplier - Clinic/Group Practice 4880824176 Receives reassigned benefits from 1 practitioner
Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Locations

128 E Katella Ave
Ste 100
Orange, CA 92867
Phone (714) 997-3535

315 E Katella Ave
Orange, CA 92867
Phone (714) 997-3535

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237075200000",
    "number": "1134360563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E KATELLA AVE STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674850",
            "telephone_number": "714-997-3535",
            "fax_number": "714-771-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E KATELLA AVE STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674850",
            "telephone_number": "714-997-3535",
            "fax_number": "714-771-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANSUCH OPTOMETRIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-15",
        "last_updated": "2009-03-15",
        "status": "A",
        "authorized_official_last_name": "VANSUCH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-997-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "6373T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Vansuch, O.D, Optometric Vision Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.