Organization Active NPI

Regency Eye Care, Inc.

  • Optometrist
  • Modesto, CA
National Provider Identifier
1578281259
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
REGENCY EYE CARE, INC.
Practice address
2225 Plaza Pkwy Ste C1
Modesto, CA 95350-6217
Phone
(209) 702-6240
Fax
(209) 575-5015
NPI assigned
Aug 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Leahann Rene Vaughn
Title
Director
Phone
(470) 448-2782

Specialties & licenses 1

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

Addresses

Primary practice location

2225 Plaza Pkwy Ste C1
Modesto, CA 95350-6217

Mailing address

2435 Commerce Ave BLDG 2200
Duluth, GA 30096-4980

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1578281259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 COMMERCE AVE BLDG 2200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PLAZA PKWY STE C1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506217",
            "telephone_number": "209-702-6240",
            "fax_number": "209-575-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "LEAHANN",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "470-448-2782"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.