Villa Optometric Group

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

VILLA OPTOMETRIC GROUP

Practice address

1613 Locust St
Walnut Creek, CA 94596-4118

Phone

(925) 932-4362

NPI assigned

Mar 31, 2021

Organization subpart

No

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

Authorized official

Name

Sharon Villa, ODNPI 1962043463

Title

Optometrist

Phone

(510) 754-5438

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Sharon Villa, OD

  • Optometrist
  • Walnut Creek, CA
  • NPI 1962043463
  Medicare reassignment NPD Authorized official
• Carl Hirsch, O.D.

  • Vision Therapy Optometrist
  • Walnut Creek, CA
  • NPI 1124098835
  NPD (past)

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1336727486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2746 BAL HARBOR LN",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945453404",
            "telephone_number": "510-754-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 LOCUST ST",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964118",
            "telephone_number": "925-932-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA OPTOMETRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "510-754-5438",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viktoriya Sharp MD a Professional Corporation
• Manyvan Vilaysane
• Rafael Steve Vilches
• Steeve Vilcin
• Chelsea Vilinskas, PSYD
• Amairani Villa
• Izabella Villa
• Sharon Villa, OD
• Tatum Danielle Villa, LMFT
• Annette Doreen Villacarte, NP

• Health Service Clinic/Center in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.