Dr Dorys P Vargas Optometrist Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

13515T Issued in CA

Legal business name

DR DORYS P VARGAS OPTOMETRIST INC

Practice address

1800 N Perris Blvd
Perris, CA 92571

Phone

(951) 940-0463

Fax

(951) 443-1263

NPI assigned

May 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Dorys P Vargas, O.D.NPI 1962665034

Title

Owner/ Optometrist

Phone

(562) 481-2555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dorys Paulina Vargas, O.D.

  • Optometrist
  • Perris, CA
  • NPI 1962665034
  Medicare reassignment Authorized official
• Michelle Jacqueline Alcala, OD

  • Optometrist
  • Temecula, CA
  • NPI 1316659360
  Medicare reassignment NPD

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

{
    "created_epoch": "1338163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1487914123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13389 BASHKIR ST",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803945",
            "telephone_number": "562-481-2555",
            "fax_number": "951-443-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N PERRIS BLVD",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "92571",
            "telephone_number": "951-940-0463",
            "fax_number": "951-443-1263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2560 N Perris Blvd Ste S",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925713251",
            "country_code": "US",
            "telephone_number": "562-481-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR DORYS P VARGAS OPTOMETRIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-28",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "DORYS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/ OPTOMETRIST",
        "authorized_official_telephone_number": "562-481-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13515T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962665034",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.