NPIMap

Organization Active NPI

20/20 Vision Associates Optometry, Inc.

Doing business as 20/20 Vision Associates Optometry

  • Optometrist
  • Riverside, CA
National Provider Identifier
1215161815
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10316T Issued in CA
Legal business name
20/20 VISION ASSOCIATES OPTOMETRY, INC.
Doing business as
20/20 Vision Associates Optometry
Practice address
7379 Indiana Ave
Riverside, CA 92504-4547
Phone
(951) 684-7822
Fax
(951) 977-8075
NPI assigned
May 11, 2009
Last updated
Aug 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Dr. Cheryl Marie Everitt, O.D.NPI 1164579918
Title
President
Phone
(951) 684-7822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13309T CA
Optometrist 152W00000X 5187T CA
Optometrist 152W00000X 33508TLG CA
Optometrist 152W00000X NU
Optometrist 152W00000X 10316T CA Primary

Addresses

Primary practice location

7379 Indiana Ave
Riverside, CA 92504-4547

Mailing address

7379 Indiana Ave
Riverside, CA 92504-4547
Phone (951) 684-7822

Other names 1

  • 20/20 Vision Associates Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

6377 Riverside Ave
Ste 101
Riverside, CA 92506
Phone (951) 684-7822

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1215161815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7379 INDIANA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925044547",
            "telephone_number": "951-684-7822",
            "fax_number": "951-977-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7379 INDIANA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925044547",
            "telephone_number": "951-684-7822",
            "fax_number": "951-977-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20/20 VISION ASSOCIATES OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "EVERITT",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-684-7822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13309T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5187T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33508TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10316T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20/20 Vision Associates Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "20/20 Vision Associates Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.