NPIMap

Organization Active NPI

Firstsight Vision Services, Inc.

  • Optometrist
  • Lodi, CA
National Provider Identifier
1184804379
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FIRSTSIGHT VISION SERVICES, INC.
Practice address
2350 W Kettleman LN
Lodi, CA 95242-4125
Phone
(209) 368-9660
Fax
(209) 334-6557
NPI assigned
Nov 6, 2007
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
FIRSTSIGHT VISION SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Mr. Joseph Heidelman
Title
Cfo
Phone
(909) 920-5008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

2350 W Kettleman LN
Lodi, CA 95242-4125

Mailing address

1202 Monte Vista Ave Ste 17
Upland, CA 91786-8216
Phone (909) 920-5008

National Provider Directory

National Provider Directory
Tax ID family
Firstsight Vison Services Inc150 organizations share this tax ID, including this one
Part of
Firstsight Vison Services Inc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2350 W Kettleman Ln
Lodi, CA 95242
Phone (209) 368-6658

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1184804379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MONTE VISTA AVE STE 17",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868216",
            "telephone_number": "909-920-5008",
            "fax_number": "888-241-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 W KETTLEMAN LN",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424125",
            "telephone_number": "209-368-9660",
            "fax_number": "209-334-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTSIGHT VISION SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRSTSIGHT VISION SERVICES, INC.",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "HEIDELMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-920-5008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.