Vision Centre of Victor Valley Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

CA9940T Issued in CA

Legal business name

VISION CENTRE OF VICTOR VALLEY INC

Practice address

14400 Bear Valley Road
Suite 204
Victorville, CA 92392-5406

Phone

(760) 951-2516

Fax

(760) 955-2227

NPI assigned

Sep 2, 2011

Last updated

Aug 7, 2015By 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

Dr. Daryl Evan Katz, ODNPI 1235210683

Title

Optometrist/Owner

Phone

(760) 951-2516

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Daryl E Katz, OD

  • Optometrist
  • Victorville, CA
  • NPI 1235210683
  Authorized official Same address or phone

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1629359757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 BEAR VALLEY ROAD",
            "address_2": "SUITE 204",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923925406",
            "telephone_number": "760-951-2516",
            "fax_number": "760-955-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 BEAR VALLEY ROAD",
            "address_2": "SUITE 204",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923925406",
            "telephone_number": "760-951-2516",
            "fax_number": "760-955-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CENTRE OF VICTOR VALLEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "760-951-2516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "CA9940T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adam Vollandt
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• Eyewear Supplier in Victorville, CA
• Providers in Victorville, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.