Active NPI
Boghossian Vision, a Professional Medical Corporation
- Ophthalmology Physician
- Danville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- BOGHOSSIAN VISION, A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 3380 Blackhawk Plaza Cir Ste 200
Danville, CA 94506-4910 - Phone
- (925) 736-5959
- Fax
- (925) 886-5521
- NPI assigned
- Oct 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Allen Boghossian, DO
- Title
- Physician
- Phone
- (925) 736-5959
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
3380 Blackhawk Plaza Cir Ste 200
Danville, CA 94506-4910
Mailing address
3380 Blackhawk Plaza Cir Ste 200
Danville, CA 94506-4910
Phone (925) 736-5959
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2063966 | Boghossian Vision | Certificate of waiver | Aug 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
3380 Blackhawk Plaza Cir
Ste 200
Danville, CA 94506
Phone (925) 736-5959
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Danville, CA
- NPI 1205863529
-
- Optometrist
- Danville, CA
- NPI 1326576976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602720000000",
"number": "1144828690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3380 BLACKHAWK PLAZA CIR STE 200",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945064910",
"telephone_number": "925-736-5959",
"fax_number": "925-886-5521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3380 BLACKHAWK PLAZA CIR STE 200",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945064910",
"telephone_number": "925-736-5959",
"fax_number": "925-886-5521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOGHOSSIAN VISION, A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-15",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A",
"authorized_official_last_name": "BOGHOSSIAN",
"authorized_official_first_name": "ALLEN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "925-736-5959",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.