Organization Active NPI

Two Optometry,Inc.

  • Optometrist
  • Hesperia, CA
National Provider Identifier
1548660673
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8606T Issued in CA
Legal business name
TWO OPTOMETRY,INC.
Practice address
15888 Main St Ste 112a
Ca
Hesperia, CA 92345-3467
Phone
(760) 949-2242
NPI assigned
Aug 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Jintau Two, O.D.NPI 1003897075
Title
President
Phone
(760) 666-2612

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 8606T CA Primary

Addresses

Primary practice location

15888 Main St Ste 112a
Ca
Hesperia, CA 92345-3467

Mailing address

5275 Vista Blvd
A-3
Sparks, NV 89436-5318
Phone (760) 666-2612

Other identifiers 1

IdentifierTypeStateIssuer
SD0086061MedicaidCA

National Provider Directory

National Provider Directory

Locations

15888 Main St
Ste 112A
Hesperia, CA 92345
Phone (619) 949-2242

5275 Vista Blvd
Ste A3
Sparks, NV 89436

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1548660673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 VISTA BLVD",
            "address_2": "A-3",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894365318",
            "telephone_number": "760-666-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15888 MAIN ST STE 112A",
            "address_2": "CA",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453467",
            "telephone_number": "760-949-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO OPTOMETRY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "TWO",
        "authorized_official_first_name": "JINTAU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-666-2612",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8606T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0086061",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.