Organization Active NPI

Focus Vision Clinic Optometry Inc

  • Optometrist
  • Yucaipa, CA
National Provider Identifier
1447562186
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12335T Issued in CA
Legal business name
FOCUS VISION CLINIC OPTOMETRY INC
Practice address
34488 Yucaipa Blvd
Ste a
Yucaipa, CA 92399-2482
Phone
(909) 797-2227
Fax
(951) 845-3833
NPI assigned
Jul 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

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

Authorized official

Name
Dr. Tanya L Miller, O.D.
Title
President
Phone
(951) 845-4749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12335T CA Primary

Addresses

Primary practice location

34488 Yucaipa Blvd
Ste a
Yucaipa, CA 92399-2482

Mailing address

851 E 6TH St
Ste A1
Beaumont, CA 92223-2340
Phone (951) 845-4749

National Provider Directory

National Provider Directory
Tax ID family
Focus Vision Clinic Optometry Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1447562186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 E 6TH ST",
            "address_2": "STE A1",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232340",
            "telephone_number": "951-845-4749",
            "fax_number": "951-845-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34488 YUCAIPA BLVD",
            "address_2": "STE A",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992482",
            "telephone_number": "909-797-2227",
            "fax_number": "951-845-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS VISION CLINIC OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-845-4749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12335T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.