NPIMap

Organization Active NPI

Focus Vision Clinic Optometry Inc

  • Optometrist
  • Beaumont, CA
National Provider Identifier
1275619116
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12335T Issued in CA
Legal business name
FOCUS VISION CLINIC OPTOMETRY INC
Practice address
1668 E 2ND St Ste B
Beaumont, CA 92223-3168
Phone
(951) 845-4749
Fax
(951) 845-8625
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Authorized official

Name
Dr. Tanya L Vanguilder, O.D.NPI 1588666481
Title
President
Phone
(951) 845-4749

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12335T CA Primary

Addresses

Primary practice location

1668 E 2ND St Ste B
Beaumont, CA 92223-3168

Mailing address

1668 E 2ND St Ste B
Beaumont, CA 92223-3168
Phone (951) 845-4749

Other practice location 1

851 E 6th St Ste A1
Beaumont, CA 92223-2371
Phone (951) 845-4749

Other names 2

  • FOCUS VISION CLINIC OPTOMETRY Doing business as
  • FOCUS VISION OPTOMETRY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061229000279 CA Part B Supplier - Clinic/Group Practice 1456351261 Receives reassigned benefits from 6 practitioners
Practice locations: Beaumont, CA

National Provider Directory

National Provider Directory

Locations

1668 E Second St
Ste B
Beaumont, CA 92223
Phone (951) 845-4749

34488 Yucaipa Blvd
Ste A
Yucaipa, CA 92399
Phone (909) 797-2227

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1275619116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 E 2ND ST STE B",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233168",
            "telephone_number": "951-845-4749",
            "fax_number": "951-845-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 E 2ND ST STE B",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233168",
            "telephone_number": "951-845-4749",
            "fax_number": "951-845-8625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 E 6th St Ste A1",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "CA",
            "postal_code": "922232371",
            "country_code": "US",
            "telephone_number": "951-845-4749",
            "fax_number": "951-845-3833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOCUS VISION CLINIC OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "VANGUILDER",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-845-4749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12335T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOCUS VISION CLINIC OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FOCUS VISION OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.