NPIMap

Organization Active NPI

Clear Vision Optometry

  • Optometrist
  • Lompoc, CA
National Provider Identifier
1235412420
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12359T Issued in CA
Legal business name
CLEAR VISION OPTOMETRY
Practice address
415 E Ocean Ave Ste B
Lompoc, CA 93436-6839
Phone
(805) 819-0742
Fax
(805) 741-7367
NPI assigned
Sep 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Pinhkeo Southaphanh, O.D.NPI 1538139381
Title
Owner
Phone
(805) 819-0742

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12359T CA Primary

Addresses

Primary practice location

415 E Ocean Ave Ste B
Lompoc, CA 93436-6839

Mailing address

415 E Ocean Ave Ste B
Lompoc, CA 93436-6839
Phone (805) 819-0742

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1235412420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E OCEAN AVE STE B",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366839",
            "telephone_number": "805-819-0742",
            "fax_number": "805-741-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E OCEAN AVE STE B",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366839",
            "telephone_number": "805-819-0742",
            "fax_number": "805-741-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VISION OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "SOUTHAPHANH",
        "authorized_official_first_name": "PINHKEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-819-0742",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12359T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.