NPIMap

Organization Active NPI

Horizon Optometry Vision Center, PC

  • Optometrist
  • Westminster, CA
National Provider Identifier
1639797269
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HORIZON OPTOMETRY VISION CENTER, PC
Doing business as
Horizon Optometry Vision Center, PC
Practice address
14361 Beach Blvd Ste 201
Westminster, CA 92683-8140
Phone
(714) 775-0019
Fax
(714) 775-0026
NPI assigned
Jul 9, 2020
Last updated
Jul 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Authorized official

Name
Dr. Phuong T Le, O.D.NPI 1356532600
Title
President
Phone
(714) 775-7045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

14361 Beach Blvd Ste 201
Westminster, CA 92683-8140

Mailing address

9600 Bolsa Ave Ste C
Westminster, CA 92683-5949
Phone (714) 775-7045

Other identifiers 1

IdentifierTypeStateIssuer
CD495AMedicaidCA

Other names 1

  • Horizon Optometry Vision Center, PC Doing business as

National Provider Directory

National Provider Directory

Locations

9600 Bolsa Ave
Ste C
Westminster, CA 92683
Phone (714) 234-7021

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1639797269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BOLSA AVE STE C",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835949",
            "telephone_number": "714-775-7045",
            "fax_number": "714-775-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14361 BEACH BLVD STE 201",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838140",
            "telephone_number": "714-775-0019",
            "fax_number": "714-775-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON OPTOMETRY VISION CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-775-7045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CD495A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Optometry Vision Center, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.