Organization Active NPI

Vista Vision Centers, Inc.

  • Ophthalmology Physician
  • Camarillo, CA
National Provider Identifier
1548530587
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VISTA VISION CENTERS, INC.
Practice address
1821 E Daily Dr
Camarillo, CA 93010-6201
Phone
(805) 987-5300
Fax
(805) 987-5330
NPI assigned
Jan 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Alexis Jacobe
Title
Director of Surgery
Phone
(805) 987-5300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X CA Primary

Addresses

Primary practice location

1821 E Daily Dr
Camarillo, CA 93010-6201

Mailing address

1821 E Daily Dr
Camarillo, CA 93010-6201
Phone (805) 987-5300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1548530587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 E DAILY DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106201",
            "telephone_number": "805-987-5300",
            "fax_number": "805-987-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 E DAILY DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106201",
            "telephone_number": "805-987-5300",
            "fax_number": "805-987-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA VISION CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "JACOBE",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "DIRECTOR OF SURGERY",
        "authorized_official_telephone_number": "805-987-5300"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.