Individual provider Active NPI

Richard Alan Iosue, O.D.

  • Optometrist
  • Palmdale, CA
National Provider Identifier
1508916289
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7880T Issued in CA
Practice address
1233 W Rancho Vista Blvd
C O Eyexam of Ca. Ste 737
Palmdale, CA 93551-3947
Phone
(661) 575-9099
Fax
(661) 575-9091
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7880T CA Primary

Addresses

Primary practice location

1233 W Rancho Vista Blvd
C O Eyexam of Ca. Ste 737
Palmdale, CA 93551-3947

Mailing address

1233 W Rancho Vista Blvd
C O Eyexam of Ca. Ste 737
Palmdale, CA 93551-3947
Phone (661) 575-9099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7880TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508916289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 W RANCHO VISTA BLVD",
            "address_2": "C O EYEXAM OF CA. STE 737",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513947",
            "telephone_number": "661-575-9099",
            "fax_number": "661-575-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 W RANCHO VISTA BLVD",
            "address_2": "C O EYEXAM OF CA. STE 737",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513947",
            "telephone_number": "661-575-9099",
            "fax_number": "661-575-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IOSUE",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7880T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.