Organization Active NPI

Blind & Visually Impaired Center of Monterey County Inc

  • Low Vision Rehabilitation Optometrist
  • Pacific Grove, CA
National Provider Identifier
1194743054
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
9928 Issued in CA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CMM70396FMedicaidCA
SD0099280OtherCAPIN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.