NPIMap

Organization Active NPI

Vista Center for the Blind and Visually Impaired

Doing business as The Vista Center for the blind and visually impaired

  • Low Vision Rehabilitation Optometrist
  • Palo Alto, CA
National Provider Identifier
1447804844
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
Legal business name
VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED
Doing business as
The Vista Center for the blind and visually impaired
Practice address
2500 El Camino Real Ste 100
Palo Alto, CA 94306-1723
Phone
(408) 295-4016
Fax
(408) 295-1398
NPI assigned
Jul 24, 2019
Last updated
Feb 16, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIREDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Monica Maez
Title
Patient Care Coordinator
Phone
(831) 458-9766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X NU Primary

Addresses

Primary practice location

2500 El Camino Real Ste 100
Palo Alto, CA 94306-1723

Mailing address

2500 El Camino Real Ste 100
Palo Alto, CA 94306-1723
Phone (650) 858-0202

Other names 1

  • The Vista Center for the blind and visually impaired Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050308000481 CA Part B Supplier - Clinic/Group Practice 9133173693 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Palo Alto, CA; San Jose, CA; Santa Cruz, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Vista Center for the Blind3 organizations share this tax ID, including this one
Part of
Vista Center for the Blind

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2470 El Camino Real
Ste 107
Palo Alto, CA 94306
Phone (415) 858-0202

2500 El Camino Real
Ste 100
Palo Alto, CA 94306
Phone (650) 858-0202

3200 Hillview Ave
Ste 120
Palo Alto, CA 94304
Phone (650) 858-0202

101 N Bascom Ave
San Jose, CA 95128
Phone (408) 295-4016

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1447804844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 EL CAMINO REAL STE 100",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061723",
            "telephone_number": "650-858-0202",
            "fax_number": "650-858-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 EL CAMINO REAL STE 100",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061723",
            "telephone_number": "408-295-4016",
            "fax_number": "408-295-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISTA CENTER FOR THE BLIND AND VISUALLY IMPAIRED",
        "enumeration_date": "2019-07-24",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "MAEZ",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PATIENT CARE COORDINATOR",
        "authorized_official_telephone_number": "831-458-9766"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vista Center for the blind and visually impaired",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.