Nueva Vision Optical

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

2945 Issued in CA

Legal business name

NUEVA VISION OPTICAL

Practice address

3100 E Imperial Hwy
Suite # 1109
Lynwood, CA 90262-3202

Phone

(310) 604-3851

Fax

(310) 878-0301

NPI assigned

Nov 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Antonio Antonio Bustamante Sr.

Title

Optician

Phone

(310) 604-3851

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1538403274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E IMPERIAL HWY",
            "address_2": "SUITE # 1109",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623202",
            "telephone_number": "310-604-3851",
            "fax_number": "310-878-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E IMPERIAL HWY",
            "address_2": "SUITE # 1109",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623202",
            "telephone_number": "310-604-3851",
            "fax_number": "310-878-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUEVA VISION OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "BUSTAMANTE",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "310-604-3851",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "2945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tharun Nimmakayala, M.D.
• Emade Sylvie Njie
• John Joseph Nocella, PA
• Regina Norris
• Nueva Creacion de Dios
• Bernardino Nunez, PTA
• Grecia Veronica Nunez
• Michelle Nunez
• Cailin Frances O'Brien, ACSW
• Kelly O'Brien, LCSW

• Preferred Provider Organization in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.