DLV Vision, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

G70688 Issued in CA

Legal business name

DLV VISION, INC

Practice address

4353 Park Terrace Dr
Suite 150
Westlake Village, CA 91361-4638

Phone

(805) 987-5300

Fax

(818) 707-7668

NPI assigned

Sep 23, 2015

Organization subpart

No

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

Authorized official

Name

Paul J Dougherty, MD

Title

Owner/Physician

Phone

(805) 987-5300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1609245380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4353 PARK TERRACE DR",
            "address_2": "SUITE 150",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614638",
            "telephone_number": "805-987-5300",
            "fax_number": "818-707-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4353 PARK TERRACE DR",
            "address_2": "SUITE 150",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614638",
            "telephone_number": "805-987-5300",
            "fax_number": "818-707-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLV VISION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "805-987-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "G70688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Diehl, D.C.
• Holly Dilger
• Tishanna Dillard
• Mary Susan Dillon Tschudi, LMFT
• DLV Vision Management LLC
• Dna Home Care Services, Inc.
• Andrea Jean Doctor, LCSW
• Christopher Domasin, LMFT
• Amanda Antoinette Dominguez, PA-C
• Deborah Dominguez, MFT

• Optometrist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.