Organization Active NPI

Avcoptometry, Inc

  • Optometrist
  • Riverside, CA
National Provider Identifier
1134799406
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AVCOPTOMETRY, INC
Practice address
14140 Meridian Pkwy Ste 101
Riverside, CA 92518-3043
Phone
(951) 243-3337
Fax
(951) 243-6868
NPI assigned
Jun 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Trina T Tran, ODNPI 1144344540
Title
Secretary
Phone
(951) 243-3337

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

14140 Meridian Pkwy Ste 101
Riverside, CA 92518-3043

Mailing address

14140 Meridian Pkwy Ste 101
Riverside, CA 92518-3043
Phone (951) 243-3337

Other identifiers 1

IdentifierTypeStateIssuer
114434454OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address trina@avceyecare.net

National Provider Directory

National Provider Directory

Locations

14140 Meridian Pkwy
#101
Riverside, CA 92518
Phone (951) 243-3337

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1134799406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14140 MERIDIAN PKWY STE 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925183043",
            "telephone_number": "951-243-3337",
            "fax_number": "951-243-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14140 MERIDIAN PKWY STE 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925183043",
            "telephone_number": "951-243-3337",
            "fax_number": "951-243-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVCOPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "951-243-3337",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "114434454",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trina@avceyecare.net",
            "affiliation": "N",
            "endpointDescription": "personal office email",
            "address_1": "14140 Meridian Pkwy Ste 101",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925183043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.