Family Optometric Vision Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

5780 T Issued in CA

Legal business name

FAMILY OPTOMETRIC VISION CARE

Practice address

5163 Lone Tree Way
Antioch, CA 94531-8689

Phone

(925) 757-5560

Fax

(925) 757-5577

NPI assigned

Jan 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Arthur Siu, O.D.NPI 1942228929

Title

Owner

Phone

(925) 757-5560

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

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

• Arthur Siu, O.D.

  • Optometrist
  • Oakland, CA
  • NPI 1942228929
  NPD (past) Authorized official
• Estella Bowlsby

  • Optometrist
  • Antioch, CA
  • NPI 1508296633
  NPD (past)
• Amanda Ibarra Ranola, OD

  • Optometrist
  • Oakley, CA
  • NPI 1447698808
  NPD (past)
• Brian Bijan Nasser, OD

  • Optometrist
  • Las Vegas, NV
  • NPI 1922668102
  NPD (past)

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1154569234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5163 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318689",
            "telephone_number": "925-757-5560",
            "fax_number": "925-757-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5163 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318689",
            "telephone_number": "925-757-5560",
            "fax_number": "925-757-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY OPTOMETRIC VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "SIU",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-757-5560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5780 T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0057802",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hany Samaan Faragallah, DDS
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• Leticia Marie Feliciano
• Michaela Felmann

• Optometrist in Antioch, CA
• Providers in Antioch, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.