Spectrum Vision Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13845 Issued in CA

Legal business name

SPECTRUM VISION OPTOMETRY, INC.

Practice address

6731 Westminster Blvd
102
Westminster, CA 92683-3794

Phone

(714) 379-5495

Fax

(714) 379-5497

NPI assigned

Jul 6, 2010

Last updated

Jul 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah ChungNPI 1104151323

Title

President

Phone

(310) 701-0425

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Sarah Chung, O.D.

  • Optometrist
  • Westminster, CA
  • NPI 1104151323
  Medicare reassignment NPD Authorized official
• Christine Anh Mai Nguyen-Le, O.D.

  • Optometrist
  • Chino Hills, CA
  • NPI 1659446136
  NPD (past)
• David Dzung Nguyen, O.D.

  • Optometrist
  • Westminster, CA
  • NPI 1790805455
  NPD (past)

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1467764662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 WESTMINSTER BLVD",
            "address_2": "102",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833794",
            "telephone_number": "714-379-5495",
            "fax_number": "714-379-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6731 WESTMINSTER BLVD",
            "address_2": "102",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833794",
            "telephone_number": "714-379-5495",
            "fax_number": "714-379-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM VISION OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-701-0425"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southbay Liberty Medical Group Inc
• Southern California Spine and Pain Institute
• Southland Integrated Services, Inc. (Integrated Community Services - Westminster)
• Speakeasy Therapy Center Inc.
• Specialized Orthopedic Anesthesia Group, Inc.
• Jody Lea Spellmeyer, LCSW
• Jason Spencer
• Stahl Chiropractic Inc
• Barry M Stahl, D.C.
• Debbie Standingwater, ACSW

• Optometrist in Westminster, CA
• Providers in Westminster, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.