Organization Active NPI

Pier Vision Optometry

  • Optometrist
  • San Diego, CA
National Provider Identifier
1144795253
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PIER VISION OPTOMETRY
Practice address
Navy Air Station North Island
Building 2017
San Diego, CA 92135-1202
Phone
(619) 313-2089
Fax
(619) 313-2089
NPI assigned
Oct 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Mrs. Cindy Quyen Than, O.D.NPI 1316103633
Title
President
Phone
(619) 313-2089

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

Navy Air Station North Island
Building 2017
San Diego, CA 92135-1202

Mailing address

Navy Air Station North Island Building 2017
San Diego, CA 92135-1202
Phone (619) 313-2089

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190621002153 CA Part B Supplier - Clinic/Group Practice 5799028007 Receives reassigned benefits from 1 practitioner
Practice locations: Carlsbad, CA; San Diego, CA

National Provider Directory

National Provider Directory

Locations

2525 El Camino Real
Ste 125
Carlsbad, CA 92008
Phone (714) 867-4801

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": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1144795253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVY AIR STATION NORTH ISLAND BUILDING 2017",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921351202",
            "telephone_number": "619-313-2089",
            "fax_number": "619-313-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVY AIR STATION NORTH ISLAND",
            "address_2": "BUILDING 2017",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921351202",
            "telephone_number": "619-313-2089",
            "fax_number": "619-313-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIER VISION OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "THAN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "QUYEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-313-2089",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 21, 2020; 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.