NPIMap

Organization Active NPI

Gordon Schanzlin New Vision Institute, Inc. a Professional Medical Cor

Doing business as Gordon Schanzlin New Vision Institute

  • Optometrist
  • San Diego, CA
National Provider Identifier
1134573678
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GORDON SCHANZLIN NEW VISION INSTITUTE, INC. A PROFESSIONAL MEDICAL COR
Doing business as
Gordon Schanzlin New Vision Institute
Practice address
8910 University Center LN
Suite 800
San Diego, CA 92122-1029
Phone
(858) 455-6800
Fax
(858) 455-0244
NPI assigned
Apr 21, 2016
Last updated
Apr 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Ms. Cathi Lyons
Title
Administrator
Phone
(858) 455-6800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Ophthalmology Physician 207W00000X NU

Addresses

Primary practice location

8910 University Center LN
Suite 800
San Diego, CA 92122-1029

Mailing address

8910 University Center LN
Suite 800
San Diego, CA 92122-1029
Phone (858) 455-6800

Other names 1

  • Gordon Schanzlin New Vision Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160803000524 CA Part B Supplier - Clinic/Group Practice 1557655230 Receives reassigned benefits from 15 practitioners
Practice locations: La Jolla, CA

National Provider Directory

National Provider Directory
Tax ID family
Gordon Schanzlin New Vision Institute Inc a Professional Medical Cor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1134573678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 UNIVERSITY CENTER LN",
            "address_2": "SUITE 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221029",
            "telephone_number": "858-455-6800",
            "fax_number": "858-455-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 UNIVERSITY CENTER LN",
            "address_2": "SUITE 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221029",
            "telephone_number": "858-455-6800",
            "fax_number": "858-455-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON SCHANZLIN NEW VISION INSTITUTE, INC. A PROFESSIONAL MEDICAL COR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "CATHI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "858-455-6800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gordon Schanzlin New Vision Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.