Vision Care Center of Southeastern Ca an Optometric Corp.

Primary specialty

OptometristTaxonomy code 152W00000X

License

005636 Issued in CA

Legal business name

VISION CARE CENTER OF SOUTHEASTERN CA AN OPTOMETRIC CORP.

Practice address

260 Main St
Brawley, CA 92227-2351

Phone

(760) 351-2020

Fax

(760) 344-4552

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Donald Lee Barniske, O.D.NPI 1982760310

Title

Optometrist

Phone

(760) 351-2020

Specialties & licenses 6

Addresses

Other identifiers 3

Other names 1

• VISION CARE CENTER OF SOUTHEASTERN CA An Optometric Corp. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Donald Lee Barniske, O.D.

  • Optometrist
  • Brawley, CA
  • NPI 1982760310
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1548465222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1071",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922271071",
            "telephone_number": "760-351-2020",
            "fax_number": "760-344-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MAIN ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272351",
            "telephone_number": "760-351-2020",
            "fax_number": "760-344-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CARE CENTER OF SOUTHEASTERN CA AN OPTOMETRIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "BARNISKE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "760-351-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "005636",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "005636",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "005636",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "005636",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "005636",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "CA",
            "license": "005636",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "WY2550",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548465222",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982760310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISION CARE CENTER OF SOUTHEASTERN CA An Optometric Corp.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Prasanna Venkataraman
• Luis Enrique Verduzco
• Maria G Villalobos
• Vincent Chiu MD Inc
• Virgilio C. Almaden, M.D. , a.M.C.
• Dhaval Vithalani, PHARMD
• Dinesh Vithalani, R.PH.
• Denise Vizcarra
• Vo Medical Center
• Qui Jeff Vo, M.D.

• Optometrist in Brawley, CA
• Providers in Brawley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.