Vivid Visions Optometry, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

33428 Issued in CA

Legal business name

VIVID VISIONS OPTOMETRY, INC

Practice address

27201 Tourney Rd Ste 100
Valencia, CA 91355-1857

Phone

(661) 310-0603

Fax

(661) 310-0603

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Dr. David Antonyan, O.D.

Title

President & Managing Optometrist

Phone

(929) 374-3937

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1154812410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27201 TOURNEY RD STE 100",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551857",
            "telephone_number": "661-310-0603",
            "fax_number": "661-310-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27201 TOURNEY RD STE 100",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551857",
            "telephone_number": "661-310-0603",
            "fax_number": "661-310-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVID VISIONS OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "ANTONYAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT & MANAGING OPTOMETRIST",
        "authorized_official_telephone_number": "929-374-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.