NPIMap

Organization Active NPI

Third Optometric Care of California PC

Doing business as Golden Vision Optometry

  • Optometrist
  • Irvine, CA
National Provider Identifier
1609461003
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
THIRD OPTOMETRIC CARE OF CALIFORNIA PC
Doing business as
Golden Vision Optometry
Practice address
15333 Culver Dr Ste 690
Irvine, CA 92604-7143
Phone
(949) 552-4271
NPI assigned
Mar 8, 2021
Last updated
Sep 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Robert Melrose, ODNPI 1659485175
Title
Owner
Phone
(209) 951-0820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

15333 Culver Dr Ste 690
Irvine, CA 92604-7143

Mailing address

3333 Quality Dr
Rancho Cordova, CA 95670-7985
Phone (916) 407-7156

Other names 1

  • Golden Vision Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210427002381 CA Part B Supplier - Clinic/Group Practice 8325456536 Receives reassigned benefits from 28 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Auburn, CA; Buena Park, CA; Elk Grove, CA; Irvine, CA; Ojai, CA; Palmdale, CA; Rancho Cordova, CA; Rialto, CA…

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Antelope Mall Vision Center Optometry11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7960 Orangethorpe Ave
Buena Park, CA 90621
Phone (714) 521-3002

17585 Harvard Ave
Ste E
Irvine, CA 92614
Phone (949) 477-2424

1211 Maricopa Hwy
Ste 101
Ojai, CA 93023
Phone (805) 646-5109

Practitioners & affiliated clinicians

Practitioners 7

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": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1609461003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 QUALITY DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707985",
            "telephone_number": "916-407-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15333 CULVER DR STE 690",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926047143",
            "telephone_number": "949-552-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD OPTOMETRIC CARE OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "MELROSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-951-0820",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Vision Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Vision Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.