Vision Institute of Southern California a Professional Medical Corpora

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

VISION INSTITUTE OF SOUTHERN CALIFORNIA A PROFESSIONAL MEDICAL CORPORA

Doing business as

IQ Laser Vision

Practice address

375 Huntington Dr. Ste. D
San Marino, CA 91108

Phone

(626) 389-2920

Fax

(626) 389-2921

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Robert Lin, M.D.

Title

Medical Director & Eye Surgeon

Phone

(626) 854-2020

Specialties & licenses 1

Addresses

Other names 1

• IQ Laser Vision Doing business as

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1144696592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18725 GALE AVENUE SUITE 140",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "91748",
            "telephone_number": "626-854-2020",
            "fax_number": "626-854-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 HUNTINGTON DR. STE. D",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "91108",
            "telephone_number": "626-389-2920",
            "fax_number": "626-389-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION INSTITUTE OF SOUTHERN CALIFORNIA A PROFESSIONAL MEDICAL CORPORA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR & EYE SURGEON",
        "authorized_official_telephone_number": "626-854-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IQ Laser Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Total Potential Physical Therapy: Wellness & Rehabilitation, PC
• Robert Trujillo, PH.D
• Judy Tung, MHS, PA-C
• Christine Tzeng, COTA
• Van Nuys Diagnostic Services, Inc.
• Karl Friedrich Vontiehl, M.D.
• Elyse Vrymoed
• Tricia Paige Walton
• Ai Wang
• John Ginhsun Wear

• Ophthalmology Physician in San Marino, CA
• Providers in San Marino, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.