Active NPI
Melody F Vega, OPTICIAN
- Optician
- Brea, CA
National Provider Identifier
1245309228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- SL1397
- Practice address
- 605 E Imperial Hwy Ste C
Brea, CA 92821-5627 - Phone
- (714) 257-1660
- Fax
- (714) 257-1662
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | SL1397 | CA | Primary |
Addresses
Primary practice location
605 E Imperial Hwy Ste C
Brea, CA 92821-5627
Mailing address
605 E Imperial Hwy Ste C
Brea, CA 92821-5627
Phone (714) 257-1660
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421585746 | Other | CA | UFCW |
| 0205 | Other | CA | NVA |
| 39044 | Other | CA | AVESIS |
| 421585746 | Other | CA | PRINCIPAL LIFE INS |
| 34718 | Other | CA | DAVIS VISION |
| CA 7663 | Other | CA | EYEMED VSION |
| 190540 | Other | CA | VSION PLAN OF AMERICA |
| PPO62133 HMO62134 | Other | CA | SAFEGUARD VISION |
| 42415 | Other | CA | MES |
| VS28 | Other | CA | SMILE SAVER |
| 3165 | Other | CA | COAST TO COAST VISION |
| 421585746 | Other | CA | SUPERIOR VISION PLAN |
| ST211441 | Other | CA | CLARITY VISION |
| 421585746 | Other | CA | BLUE CROSS OF CA |
| 421585746 | Other | CA | CIGNA |
| 421585746 | Other | CA | GREAT WEST INSURANCE |
| 73292 | Other | CA | UNITED HEALTH CARE/SPECTERA |
Other names 1
- Ms. Melodia F Vega
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL1397 | CA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1245309228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 E IMPERIAL HWY STE C",
"city": "BREA",
"state": "CA",
"postal_code": "928215627",
"telephone_number": "714-257-1660",
"fax_number": "714-257-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 E IMPERIAL HWY STE C",
"city": "BREA",
"state": "CA",
"postal_code": "928215627",
"telephone_number": "714-257-1660",
"fax_number": "714-257-1662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "MELODY",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "SL1397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UFCW",
"identifier": "421585746",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVA",
"identifier": "0205",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS",
"identifier": "39044",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRINCIPAL LIFE INS",
"identifier": "421585746",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "34718",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED VSION",
"identifier": "CA 7663",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VSION PLAN OF AMERICA",
"identifier": "190540",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAFEGUARD VISION",
"identifier": "PPO62133 HMO62134",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MES",
"identifier": "42415",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SMILE SAVER",
"identifier": "VS28",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COAST TO COAST VISION",
"identifier": "3165",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR VISION PLAN",
"identifier": "421585746",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLARITY VISION",
"identifier": "ST211441",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF CA",
"identifier": "421585746",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "421585746",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST INSURANCE",
"identifier": "421585746",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE/SPECTERA",
"identifier": "73292",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELODIA",
"last_name": "VEGA",
"middle_name": "F",
"prefix": "MS.",
"credential": "OPTICIAN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.