NPIMap

Organization Active NPI

Imperial Valley Optometric Corporation

  • Optometrist
  • El Centro, CA
National Provider Identifier
1508010463
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA11166T Issued in CA
Legal business name
IMPERIAL VALLEY OPTOMETRIC CORPORATION
Practice address
1503 N Imperial Ave
Suite 103
El Centro, CA 92243-6301
Phone
(760) 336-0010
NPI assigned
Nov 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Dr. May C. Tam, O.D.NPI 1548255896
Title
Optometrist/Vice-President
Phone
(760) 336-3003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X CA11960T CA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X CA11166T CA Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X CA11368T CA

Addresses

Primary practice location

1503 N Imperial Ave
Suite 103
El Centro, CA 92243-6301

Mailing address

525 W Main St
Suite 2
El Centro, CA 92243-7900
Phone (760) 336-0010

Other names 1

  • Optom-Eyes Vision Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Imperial Valley Optometric Corporation14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

1503 N Imperial Ave
Ste 103
El Centro, CA 92243
Phone (760) 336-0010

525 W Main St
Ste 2
El Centro, CA 92243
Phone (760) 336-3003

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1508010463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W MAIN ST",
            "address_2": "SUITE 2",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922437900",
            "telephone_number": "760-336-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 N IMPERIAL AVE",
            "address_2": "SUITE 103",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922436301",
            "telephone_number": "760-336-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL VALLEY OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "TAM",
        "authorized_official_first_name": "MAY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OPTOMETRIST/VICE-PRESIDENT",
        "authorized_official_telephone_number": "760-336-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA11960T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA11166T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA11368T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optom-Eyes Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.