North Coast Vision

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NORTH COAST VISION

Practice address

804 41St Ave
Santa Cruz, CA 95062-4421

Phone

(831) 462-5945

Fax

(831) 462-5937

NPI assigned

Nov 16, 2007

Last updated

Nov 16, 2007By 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

Agnes Yang-Eun Pyong Kim, O.D.NPI 1063537397

Title

Optometrist

Phone

(510) 965-2224

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Agnes (Yang Eun) Pyong Kim, O.D.

  • Optometrist
  • Martinez, CA
  • NPI 1063537397
  Medicare reassignment NPD Authorized official
• Lisa Strand Baloian, OD

  • Optometrist
  • San Francisco, CA
  • NPI 1346297322
  Medicare reassignment NPD

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1619158755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 41ST AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624421",
            "telephone_number": "831-462-5945",
            "fax_number": "831-462-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 41ST AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624421",
            "telephone_number": "831-462-5945",
            "fax_number": "831-462-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "AGNES YANG-EUN",
        "authorized_official_middle_name": "PYONG",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "510-965-2224",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena Poblador Norris, MSN NP
• Rachelle Norris
• Sheryl Norteye, MBA
• William Norteye, LMFT
• North Bay Physical Therapy Inc (North Bay Phys Ther)
• Northland Hearing Centers, Inc. (The Hearing Aid Store)
• Kathryn Ruth Norton, DPT
• Ken Edward Norton, AU.D.
• Leonard Scott Norton, PT
• Jonathan Norvell

• Optometrist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.