Individual provider Active NPI

Richard Norris York, OD

  • Optometrist
  • Victorville, CA
National Provider Identifier
1619917655
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7717T Issued in CA
Practice address
13024 Hesperia Rd
Suite 102
Victorville, CA 92395-8302
Phone
(760) 245-5364
Fax
(760) 951-2733
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7717T CA Primary

Addresses

Primary practice location

13024 Hesperia Rd
Suite 102
Victorville, CA 92395-8302

Mailing address

13024 Hesperia Rd
Suite 102
Victorville, CA 92395-8302
Phone (760) 245-5364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7717TCAMDOptometrist
7717CAMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1619917655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13024 HESPERIA RD",
            "address_2": "SUITE 102",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958302",
            "telephone_number": "760-245-5364",
            "fax_number": "760-951-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13024 HESPERIA RD",
            "address_2": "SUITE 102",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958302",
            "telephone_number": "760-245-5364",
            "fax_number": "760-951-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "RICHARD",
        "middle_name": "NORRIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7717T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.