Priority Vision Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

14573 Issued in CA

Legal business name

PRIORITY VISION OPTOMETRY INC

Practice address

11964 Aviation Blvd
Los Angeles, CA 90304

Phone

(310) 536-9500

Fax

(844) 272-8842

NPI assigned

May 14, 2015

Last updated

May 14, 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. Roxanne Fermin, O.D.

Title

O.D.

Phone

(310) 536-9500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1639557218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11964 AVIATION BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90304",
            "telephone_number": "310-536-9500",
            "fax_number": "844-272-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11964 AVIATION BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90304",
            "telephone_number": "310-536-9500",
            "fax_number": "844-272-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY VISION OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "FERMIN",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "O.D.",
        "authorized_official_telephone_number": "310-536-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Rothaus Printz, MS, CF-SLP
• Jeanne Marie Abbott Prinzivalli
• Virginia Prior, L.AC.
• Priority Care Home Health Inc
• Priority Family Care Center Apc
• Jessica Justine Prisk
• Prism Therapy, a Licensed Clinical Social Worker P.C.
• Hillary Edith Pritchett, M.S., M.F.T.
• Tiahzia Pritchett
• Andrew Paul Pritikin, D.P.T.

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.