Organization Active NPI

Villa Optometry, Inc.

  • Optometrist
  • Chula Vista, CA
National Provider Identifier
1558739078
Registry record updated Mar 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10561 T Issued in CA
Legal business name
VILLA OPTOMETRY, INC.
Practice address
523 Telegraph Canyon Rd
Chula Vista, CA 91910-6436
Phone
(619) 482-2020
Fax
(619) 482-2671
NPI assigned
Sep 15, 2015
Last updated
Mar 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2026

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

Authorized official

Name
Dr. Angelica Marie Villa, O.D.NPI 1962544965
Title
Ceo
Phone
(858) 260-9208

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
Eyewear Supplier 332H00000X 10561 T CA
Optometrist 152W00000X 10561 T CA Primary

Addresses

Primary practice location

523 Telegraph Canyon Rd
Chula Vista, CA 91910-6436

Mailing address

523 Telegraph Canyon Rd
Chula Vista, CA 91910-6436
Phone (619) 482-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170323001402 CA Part B Supplier - Clinic/Group Practice 3577848027 Receives reassigned benefits from 2 practitioners
Practice locations: Chula Vista, CA

National Provider Directory

National Provider Directory

Locations

523 Telegraph Canyon Rd
Chula Vista, CA 91910
Phone (619) 482-2020

531 Telegraph Canyon Rd
Chula Vista, CA 91910
Phone (619) 482-2020

Practitioners & affiliated clinicians

Practitioners 2

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": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774137600000",
    "number": "1558739078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 TELEGRAPH CANYON RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106436",
            "telephone_number": "619-482-2020",
            "fax_number": "619-482-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 TELEGRAPH CANYON RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106436",
            "telephone_number": "619-482-2020",
            "fax_number": "619-482-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2026-03-22",
        "certification_date": "2026-03-22",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-260-9208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "10561 T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10561 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2026; 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.