Mary Diana Vivirito, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

33798TLG Issued in CA

Practice address

812 N Imperial Ave
El Centro, CA 92243-1916

Phone

(760) 352-7460

Fax

(888) 210-5799

NPI assigned

Jun 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Barry a. Katzman, M.D., Inc Apc

  • Optometrist
  • San Diego, CA
  • NPI 1588842488
  NPD (past)
• Bronson W Hamada O D a Professional Corp

  • Optometrist
  • Huntington Beach, CA
  • NPI 1497786644
  NPD (past)
• David P Espinosa Inc

  • Optometrist
  • El Centro, CA
  • NPI 1740476829
  NPD (past)
• Total Vision PC

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  NPD (past)

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726358400000",
    "number": "1477968667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 N IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431916",
            "telephone_number": "760-352-7460",
            "fax_number": "888-210-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 N IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431916",
            "telephone_number": "760-352-7460",
            "fax_number": "888-210-5799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3451 S Dogwood Rd Ste 1334",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922439140",
            "country_code": "US",
            "telephone_number": "760-336-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIVIRITO",
        "first_name": "MARY",
        "middle_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003100",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33798TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Villegas
• Robert Rodriguez Villegas, MSN FNP
• Alyssa Jazmin Viloria
• Vishwa Kapoor,M.D. Inc
• Monalisa G Vitela
• Vanessa Vizcarra Sanchez
• Vo Medical Center
• Vo Medical Center
• April Marie Vo, FNP-C
• Tien T Vo, MD

• Optometrist in El Centro, CA
• Providers in El Centro, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.