Organization Active NPI

Vip Vision PC

  • Ophthalmology Physician
  • Alhambra, CA
National Provider Identifier
1558776435
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20A11984 Issued in CA
Legal business name
VIP VISION PC
Practice address
103 N Garfield Ave Ste E
Alhambra, CA 91801
Phone
(626) 799-2075
Fax
(626) 790-4554
NPI assigned
Jun 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Dr. Jeffrey Huang, D.O.NPI 1124274998
Title
Owner
Phone
(626) 799-2075

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
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 20A11984 CA Primary

Addresses

Primary practice location

103 N Garfield Ave Ste E
Alhambra, CA 91801

Mailing address

103 N Garfield Ave Ste E
Alhambra, CA 91801-3578
Phone (626) 799-2075

Other practice location 1

375 Huntington Dr
Suite D
San Marino, CA 91108-2357
Phone (626) 799-2075

Other practice location 2

375 Huntington Dr
Suite D
San Marino, CA 91108-2357
Phone (626) 799-2075

Other names 1

  • Diamond Vision Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141208001565 CA Part B Supplier - Clinic/Group Practice 8921320698 Receives reassigned benefits from 1 practitioner
Practice locations: Alhambra, CA

National Provider Directory

National Provider Directory

Locations

375 Huntington Dr
Ste D
San Marino, CA 91108
Phone (626) 389-2920

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": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1558776435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N GARFIELD AVE STE E",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013578",
            "telephone_number": "626-799-2075",
            "fax_number": "626-790-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N GARFIELD AVE STE E",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "91801",
            "telephone_number": "626-799-2075",
            "fax_number": "626-790-4554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Huntington Dr",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "San Marino",
            "state": "CA",
            "postal_code": "911082357",
            "country_code": "US",
            "telephone_number": "626-799-2075",
            "fax_number": "626-790-4554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 Huntington Dr",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "San Marino",
            "state": "CA",
            "postal_code": "911082357",
            "country_code": "US",
            "telephone_number": "626-799-2075",
            "fax_number": "626-790-4554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIP VISION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-799-2075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A11984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Vision Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diamond Vision Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.