NPIMap

Organization Active NPI

Delta Vista Optometry Inc.

  • Optometrist
  • Brentwood, CA
National Provider Identifier
1285642801
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 8323 TPL Issued in CA
Legal business name
DELTA VISTA OPTOMETRY INC.
Practice address
8440 Brentwood Blvd Ste F
Brentwood, CA 94513-1300
Phone
(924) 634-0303
Fax
(925) 634-0338
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Authorized official

Name
Dr. Carol A Buchanan, OD
Title
Owner
Phone
(925) 634-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT 8323 TPL CA Primary

Addresses

Primary practice location

8440 Brentwood Blvd Ste F
Brentwood, CA 94513-1300

Mailing address

8440 Brentwood Blvd Ste F
Brentwood, CA 94513-1300
Phone (925) 634-0303

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Deltavista@icloud.com Direct

National Provider Directory

National Provider Directory

Locations

8440 Brentwood Blvd
Ste F
Brentwood, CA 94513
Phone (925) 634-0303

Practitioners & affiliated clinicians

Practitioners 5

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1285642801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 BRENTWOOD BLVD STE F",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131300",
            "telephone_number": "925-634-0303",
            "fax_number": "925-634-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 BRENTWOOD BLVD STE F",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131300",
            "telephone_number": "924-634-0303",
            "fax_number": "925-634-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA VISTA OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-634-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 8323 TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Deltavista@icloud.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "8440 Brentwood Blvd Ste F",
            "city": "Brentwood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945131300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.