Organization Active NPI

Valley View Optometry

  • Optometrist
  • Oakdale, CA
National Provider Identifier
1306345640
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33809 Issued in CA
Legal business name
VALLEY VIEW OPTOMETRY
Practice address
190 S Maag Ave Ste G
Oakdale, CA 95361-9622
Phone
(209) 847-1121
NPI assigned
Feb 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Authorized official

Name
Danielle E Boyd, ODNPI 1255856969
Title
Owner
Phone
(209) 847-1121

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 33809 CA Primary

Addresses

Primary practice location

190 S Maag Ave Ste G
Oakdale, CA 95361-9622

Mailing address

190 S Maag Ave Ste G
Oakdale, CA 95361-9622
Phone (209) 847-1121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180301000515 CA Part B Supplier - Clinic/Group Practice 7911268297 Receives reassigned benefits from 2 practitioners
Practice locations: Oakdale, CA

National Provider Directory

National Provider Directory

Locations

190 S Maag Ave
Ste G
Oakdale, CA 95361
Phone (209) 847-1121

Practitioners & affiliated clinicians

Practitioners 2

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": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1306345640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S MAAG AVE STE G",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953619622",
            "telephone_number": "209-847-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S MAAG AVE STE G",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953619622",
            "telephone_number": "209-847-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VIEW OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-847-1121",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.