Fremont Vision Optix Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FREMONT VISION OPTIX OPTOMETRY

Practice address

4527 Mattos Dr
Fremont, CA 94536-6736

Phone

(510) 797-4750

NPI assigned

Jul 17, 2023

Organization subpart

No

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

Authorized official

Name

Winson Ong

Title

Ceo

Phone

(408) 757-6951

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Don Pegueros, OD

  • Optometrist
  • Fremont, CA
  • NPI 1710014659
  NPD (past)

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1184303091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945130591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4527 MATTOS DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945366736",
            "telephone_number": "510-797-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT VISION OPTIX OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "WINSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-757-6951"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fremont SNF Healthcare, LLC
• Fremont Surgery Center North
• Fremont Unified School District
• Fremont Uniform and Medical Supply Inc
• Fremont Vascular and Vein Inc
• Marietta Frey, MD
• Jamilah Friday, M.D.
• Stephanie Friduss, MD
• Stephen Friedkin, MD
• Kelsey Lynn Frost, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.