Dinuba Optometric Center Inc a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DINUBA OPTOMETRIC CENTER INC A PROFESSIONAL CORPORATION

Practice address

119 S L St
Dinuba, CA 93618-2324

Phone

(559) 591-4656

Fax

(559) 591-4090

NPI assigned

Nov 10, 2020

Last updated

Mar 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Moses Thai, ODNPI 1225653322

Title

Sole Owner / President

Phone

(909) 694-9446

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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.

• Moses Thai, OD

  • Optometrist
  • Dinuba, CA
  • NPI 1225653322
  Medicare reassignment NPD Authorized official
• Allyson Farrell, OD

  • Optometrist
  • Dinuba, CA
  • NPI 1992880116
  NPD
• Robert B Farrell, OD

  • Optometrist
  • Dinuba, CA
  • NPI 1205911427
  NPD
• Wendy Lam, O.D.

  • Optometrist
  • Dinuba, CA
  • NPI 1992010490
  NPD

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1609478189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4384 E ASHLAN AVE STE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937262600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S L ST",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "936182324",
            "telephone_number": "559-591-4656",
            "fax_number": "559-591-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINUBA OPTOMETRIC CENTER INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "SOLE OWNER / PRESIDENT",
        "authorized_official_telephone_number": "909-694-9446",
        "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": []
}

• Edward John Derderian, PHARM.D.; R.PH.
• Mercedeh Deyhim, MS, PA-C
• Gabriel Diaz
• Dinuba Medical Center
• Dinuba Medical Clinic
• Dinuba Pharmacy Inc
• Dinuba Pharmacy Inc
• Dinuba Pharmacy Inc (Dinuba Pharmacy)
• Dinuba Physical Therapy
• Dinuba Physical Therapy,Inc,

• Optometrist in Dinuba, CA
• Providers in Dinuba, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.