New Vision Office Surgery LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NEW VISION OFFICE SURGERY LLC

Practice address

4130 La Jolla Village Dr Ste 300
La Jolla, CA 92037-1481

Phone

(858) 455-6800

NPI assigned

Apr 11, 2023

Organization subpart

No

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

Authorized official

Name

Michael Gordon, MD

Title

Medical Director

Phone

(858) 455-6800

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1508551946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 LA JOLLA VILLAGE DR STE 300",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371481",
            "telephone_number": "858-455-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 LA JOLLA VILLAGE DR STE 300",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371481",
            "telephone_number": "858-455-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION OFFICE SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "858-455-6800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johannes M. Neuendorf, D.O.
• Kassandra Neuendorff
• Tom S Neuman, MD
• Neuropsychology Consult Services Inc
• Robert Eugene Neveln, MD
• Jacob New, MD
• Leslie A Newman Clark, L AC
• Keeley Newsom
• Kira Danielle Newton
• Ruth P Newton, PH.D.

• Ambulatory Surgical Clinic/Center in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.