Kristie Vo O.D, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

11402T Issued in CA

Legal business name

KRISTIE VO O.D, INC

Practice address

6445 Pats Ranch Rd
Suite D
Mira Loma, CA 91752-4439

Phone

(714) 334-5237

Fax

(909) 355-8500

NPI assigned

Feb 29, 2008

Last updated

Feb 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kristie A Vo, ODNPI 1922148634

Title

President

Phone

(714) 334-5237

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Kristie Anh Vo, O.D

  • Optometrist
  • Mira Loma, CA
  • NPI 1922148634
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1235309667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27867 CRESCENT CT",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925555738",
            "telephone_number": "714-334-5237",
            "fax_number": "909-355-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6445 PATS RANCH RD",
            "address_2": "SUITE D",
            "city": "MIRA LOMA",
            "state": "CA",
            "postal_code": "917524439",
            "telephone_number": "714-334-5237",
            "fax_number": "909-355-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIE VO O.D, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-334-5237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11402T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Mira Loma, CA
• Providers in Mira Loma, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.