Active NPI
Blind & Visually Impaired Center of Monterey County Inc
- Low Vision Rehabilitation Optometrist
- Pacific Grove, CA
National Provider Identifier
1194743054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- 9928
- Legal business name
- BLIND & VISUALLY IMPAIRED CENTER OF MONTEREY COUNTY INC
- Practice address
- 225 Laurel Ave
Pacific Grove, CA 93950-3651 - Phone
- (831) 649-3505
- Fax
- (831) 649-4057
- NPI assigned
- Jul 18, 2006
- Last updated
- Jul 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheri Padin
- Title
- Business Director
- Phone
- (831) 649-3505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 9928 | CA | Primary |
Addresses
Primary practice location
225 Laurel Ave
Pacific Grove, CA 93950-3651
Mailing address
225 Laurel Ave
Pacific Grove, CA 93950-3651
Phone (831) 649-3505
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CMM70396F | Medicaid | CA | |
| SD0099280 | Other | CA | PIN |
National Provider Directory
National Provider DirectoryLocations
225 Laurel Ave
Pacific Grove, CA 93950
Phone (831) 649-3505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217203200000",
"number": "1194743054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 LAUREL AVE",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939503651",
"telephone_number": "831-649-3505",
"fax_number": "831-649-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 LAUREL AVE",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939503651",
"telephone_number": "831-649-3505",
"fax_number": "831-649-4057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLIND & VISUALLY IMPAIRED CENTER OF MONTEREY COUNTY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2008-07-28",
"status": "A",
"authorized_official_last_name": "PADIN",
"authorized_official_first_name": "CHERI",
"authorized_official_title_or_position": "BUSINESS DIRECTOR",
"authorized_official_telephone_number": "831-649-3505"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "CA",
"license": "9928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CMM70396F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "SD0099280",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pacific Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.