Organization Active NPI

Clear View Optometry, PC

  • Optometrist
  • Rancho Cucamonga, CA
National Provider Identifier
1649280454
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11800T Issued in CA
Legal business name
CLEAR VIEW OPTOMETRY, PC
Practice address
12263 Highland Ave
Ste 120
Rancho Cucamonga, CA 91739-2576
Phone
(909) 899-5001
Fax
(909) 899-5003
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Dr. Jin Xia Zhu, O.D.NPI 1922056365
Title
President
Phone
(909) 899-5001

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 11800T CA Primary

Addresses

Primary practice location

12263 Highland Ave
Ste 120
Rancho Cucamonga, CA 91739-2576

Mailing address

12263 Highland Ave
Ste 120
Rancho Cucamonga, CA 91739-2576
Phone (909) 899-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060822000241 CA Part B Supplier - Clinic/Group Practice 6507869112 Receives reassigned benefits from 6 practitioners
Practice locations: Rancho Cucamonga, CA

National Provider Directory

National Provider Directory

Locations

7870 Monet Ave
Rancho Cucamonga, CA 91739
Phone (909) 899-5001

12263 Highland Ave
Ste 120
Rancho Cucamonga, CA 91739
Phone (909) 899-5001

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1649280454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12263 HIGHLAND AVE",
            "address_2": "STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392576",
            "telephone_number": "909-899-5001",
            "fax_number": "909-899-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12263 HIGHLAND AVE",
            "address_2": "STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392576",
            "telephone_number": "909-899-5001",
            "fax_number": "909-899-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VIEW OPTOMETRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "ZHU",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "XIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-899-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11800T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.