NPIMap

Organization Active NPI

Advantage Eye Care Optometry Inc

  • Optometrist
  • Redding, CA
National Provider Identifier
1295930782
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-CA 7982T Issued in CA
Legal business name
ADVANTAGE EYE CARE OPTOMETRY INC
Practice address
1751 Hartnell Ave
Suite 1
Redding, CA 96002-2219
Phone
(530) 223-2325
Fax
(530) 223-2252
NPI assigned
Jun 15, 2007
Last updated
Oct 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
Dr. Joseph W. Laya, O.D.NPI 1255307724
Title
Doctor of Optomerty
Phone
(530) 223-2325

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 OPT-CA 7982T CA Primary

Addresses

Primary practice location

1751 Hartnell Ave
Suite 1
Redding, CA 96002-2219

Mailing address

1751 Hartnell Ave
Suite 1
Redding, CA 96002-2219
Phone (530) 223-2325

Other identifiers 1

IdentifierTypeStateIssuer
SD0079820MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1295930782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 HARTNELL AVE",
            "address_2": "SUITE 1",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022219",
            "telephone_number": "530-223-2325",
            "fax_number": "530-223-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 HARTNELL AVE",
            "address_2": "SUITE 1",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022219",
            "telephone_number": "530-223-2325",
            "fax_number": "530-223-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE EYE CARE OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "LAYA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMERTY",
        "authorized_official_telephone_number": "530-223-2325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT-CA 7982T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0079820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.