Visual Paradise Optometry, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

12974T Issued in CA

Legal business name

VISUAL PARADISE OPTOMETRY, INC

Doing business as

Optometry at the Shops

Practice address

602 The Shops at Mission Viejo
Mission Viejo, CA 92691-6515

Phone

(949) 582-2020

NPI assigned

Apr 28, 2017

Organization subpart

Yes

Parent organization

VISUAL PARADISE OPTOMETRY, INCAs reported in NPPES

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

Authorized official

Name

Dr. Diana Ciobanu, O.D.NPI 1013002179

Title

Optometrist, Owner

Phone

(617) 270-6527

Specialties & licenses 1

Addresses

Other names 1

• Optometry at the Shops Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Visual Paradise Optometry2 organizations share this tax ID, including this one

Part of

Visual Paradise Optometry

Other organizations with this tax ID 1

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

• Visual Paradise Optometry, Inc.

  • Optometrist
  • Irvine, CA
  • NPI 1760819536
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Visual Paradise Optometry, Inc.

  • Optometrist
  • Irvine, CA
  • NPI 1760819536
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Mihaela Ciobanu, O.D.

  • Optometrist
  • Mission Viejo, CA
  • NPI 1013002179
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1619402476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 THE SHOPS AT MISSION VIEJO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916515",
            "telephone_number": "949-582-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 THE SHOPS AT MISSION VIEJO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916515",
            "telephone_number": "949-582-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISUAL PARADISE OPTOMETRY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISUAL PARADISE OPTOMETRY, INC",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "CIOBANU",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OPTOMETRIST, OWNER",
        "authorized_official_telephone_number": "617-270-6527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12974T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optometry at the Shops",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.