Active NPI
Two Optometry,Inc.
- Optometrist
- Hesperia, CA
National Provider Identifier
1548660673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8606T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jintau Two, O.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0086061 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Hesperia, CA
- NPI 1003897075
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.