Organization Active NPI

Laguna Hills Refractive LLC

  • Clinic/Center
  • Laguna Hills, CA
National Provider Identifier
1174927602
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LAGUNA HILLS REFRACTIVE LLC
Practice address
24401 Calle de la Louisa
Ste 300
Laguna Hills, CA 92653-3623
Phone
(636) 534-2300
NPI assigned
Oct 13, 2014
Organization subpart
Yes
Parent organization
TLC VISION CENTERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Mrs. Charice Y Anderson
Title
General Counsel
Phone
(636) 534-2234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

24401 Calle de la Louisa
Ste 300
Laguna Hills, CA 92653-3623

Mailing address

16305 Swingley Ridge Rd
300
Chesterfield, MO 63017-1777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1174927602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16305 SWINGLEY RIDGE RD",
            "address_2": "300",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 CALLE DE LA LOUISA",
            "address_2": "STE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533623",
            "telephone_number": "636-534-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUNA HILLS REFRACTIVE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TLC VISION CENTERS, LLC",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHARICE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "636-534-2234",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.