Organization Active NPI

Cya Optometry Corporation

  • Optometrist
  • Barstow, CA
National Provider Identifier
1568876852
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14004 Issued in CA
Legal business name
CYA OPTOMETRY CORPORATION
Practice address
945 Armory Rd Ste C
Barstow, CA 92311
Phone
(760) 252-7518
Fax
(760) 252-7510
NPI assigned
Jun 16, 2014
Last updated
Aug 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Dr. Cheng Yu A Wang, ODNPI 1881996692
Title
President
Phone
(760) 252-7518

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
Optometrist 152W00000X 14004 CA Primary

Addresses

Primary practice location

945 Armory Rd Ste C
Barstow, CA 92311

Mailing address

945 Armory Rd
Suite C
Barstow, CA 92311-5401
Phone (760) 252-7518

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141023001658 CA Part B Supplier - Clinic/Group Practice 3577784156 Receives reassigned benefits from 2 practitioners
Practice locations: Barstow, CA

National Provider Directory

National Provider Directory

Locations

945 Armory Rd
Ste C
Barstow, CA 92311
Phone (760) 252-7518

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": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1568876852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 ARMORY RD",
            "address_2": "SUITE C",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923115401",
            "telephone_number": "760-252-7518",
            "fax_number": "760-252-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 ARMORY RD STE C",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "92311",
            "telephone_number": "760-252-7518",
            "fax_number": "760-252-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYA OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHENG YU",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-252-7518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.