Insight Vision Care Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

11413 Issued in CA

Legal business name

INSIGHT VISION CARE OPTOMETRY

Practice address

675 Ygnacio Valley Rd
#B103
Walnut Creek, CA 94596-3860

Phone

(925) 933-4700

NPI assigned

Oct 4, 2015

Organization subpart

No

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

Authorized official

Name

Stephanie Doherty, O.D.

Title

Optometrist

Phone

(925) 933-4700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Stephanie Laura Chan, OD

  • Optometrist
  • Walnut Creek, CA
  • NPI 1689635542

  CA, Optometrist

  Medicare reassignment NPD
• Bryan Doherty, O.D.

  • Optometrist
  • Concord, CA
  • NPI 1972645943

  CA, Optometrist

  Medicare reassignment NPD
• Michael A Roy, O D INC

  • Optometrist
  • Walnut Creek, CA
  • NPI 1770577892
  NPD
• Thomas M. Callan, OD

  • Optometrist
  • Walnut Creek, CA
  • NPI 1043348394
  NPD (past)

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

{
    "created_epoch": "1443916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443916800000",
    "number": "1275903148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 YGNACIO VALLEY RD",
            "address_2": "#B103",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 YGNACIO VALLEY RD",
            "address_2": "#B103",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963860",
            "telephone_number": "925-933-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT VISION CARE OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-04",
        "last_updated": "2015-10-04",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "925-933-4700",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Inguez, MA
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• Innovative Wellness Inc a Nursing Corporation
• Amy Inouye, NP
• Mokmany Inphouva
• Institute of Mindful Therapy
• Nissa Intarachote Van Etten
• Integrated Pain Management Medical Group, Inc.
• Interim Assisted Care of the East Bay
• Invisible Ink Skin Solutions

• All providers in Walnut Creek, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2015; 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.