NPIMap

Organization Active NPI

Southwest Eye Care Optometric Center, Inc

Doing business as Southwest Eye Care Optometric Center

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1538517438
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SOUTHWEST EYE CARE OPTOMETRIC CENTER, INC
Doing business as
Southwest Eye Care Optometric Center
Practice address
4649 Planz Rd
Bakersfield, CA 93309-5900
Phone
(661) 833-4040
Fax
(661) 833-6721
NPI assigned
Jun 1, 2016
Last updated
Mar 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Dr. Janae Leanne Vance, ODNPI 1376642967
Title
Owner
Phone
(661) 833-4040

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13897T CA
Optometrist 152W00000X Primary

Addresses

Primary practice location

4649 Planz Rd
Bakersfield, CA 93309-5900

Mailing address

4649 Planz Rd
Bakersfield, CA 93309-5900
Phone (661) 833-4040

Other identifiers 3

IdentifierTypeStateIssuer
1538517438OtherCAINDIVIDUAL NPI
13085TLGOtherCASTATE LICENSE
CA226582OtherCAPTAN

Other names 1

  • Southwest Eye Care Optometric Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161202000474 CA Part B Supplier - Clinic/Group Practice 5991085292 Receives reassigned benefits from 7 practitioners
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

4649 Planz Rd
Bakersfield, CA 93309
Phone (661) 833-4040

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1538517438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4649 PLANZ RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933095900",
            "telephone_number": "661-833-4040",
            "fax_number": "661-833-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4649 PLANZ RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933095900",
            "telephone_number": "661-833-4040",
            "fax_number": "661-833-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST EYE CARE OPTOMETRIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "JANAE",
        "authorized_official_middle_name": "LEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-833-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13897T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1538517438",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "13085TLG",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CA226582",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Eye Care Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Eye Care Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.