Beach Vision Center, an Optometry Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

07859T Issued in CA

Legal business name

BEACH VISION CENTER, AN OPTOMETRY CORPORATION

Practice address

10900 Los Alamitos Blvd
Suite 102
Los Alamitos, CA 90720-2354

Phone

(562) 431-1301

Fax

(562) 594-0624

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. A. Cory Thies, O.D.

Title

Co-Owner

Phone

(562) 431-1301

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1477636264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 LOS ALAMITOS BLVD",
            "address_2": "SUITE 102",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202354",
            "telephone_number": "562-431-1301",
            "fax_number": "562-594-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 LOS ALAMITOS BLVD",
            "address_2": "SUITE 102",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202354",
            "telephone_number": "562-431-1301",
            "fax_number": "562-594-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH VISION CENTER, AN OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-10-31",
        "status": "A",
        "authorized_official_last_name": "THIES",
        "authorized_official_first_name": "A.",
        "authorized_official_middle_name": "CORY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "562-431-1301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "07859T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barton a. Kubelka, D.D.S., Inc.
• Ana T Batan
• Sierra Battah
• Fritz J Baumgartner, MD
• Beach Orthopaedic Specialty Institute Inc
• Steven Joseph Becker, D.O.
• Katherine Beckwith, PA-C
• Vhenus Belisle, PPS, LEP
• Barbara Jill Bennett, C.P.N.P.
• Anne-Marie Bergeron, PPS

• Optometrist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.