San Diego Vision Care Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

11085 Issued in CA

Legal business name

SAN DIEGO VISION CARE OPTOMETRY

Practice address

3807 Fairmount Ave Ste 200
San Diego, CA 92105-2659

Phone

(619) 508-5678

NPI assigned

Feb 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kelvin Nguyen, O.D.

Title

Optometrist

Phone

(858) 784-1145

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1346740677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 FAIRMOUNT AVE STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921052659",
            "telephone_number": "619-508-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 FAIRMOUNT AVE STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921052659",
            "telephone_number": "619-508-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO VISION CARE OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "858-784-1145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Diego Vamc
• San Diego Vamc
• San Diego Vamc
• San Diego Veterans Healthcare System
• San Diego Virtual School
• San Diego Vision Care, Inc.
• San Diego Women'S Medical Clinic, Inc.
• San Diego Youth and Community Services
• San Diego Youth Psychology
• San Diego Youth Services

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.