Balfour Vision Optix Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BALFOUR VISION OPTIX OPTOMETRY, INC.

Practice address

3840 Balfour Rd Ste a
Brentwood, CA 94513-1641

Phone

(925) 513-0323

Fax

(925) 513-8649

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Winson Ong, O.D.NPI 1821132143

Title

Ceo

Phone

(925) 513-0323

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lone Tree Vision Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Balfour Vision Optix Optometry Inc.

  • Optometrist
  • Antioch, CA
  • NPI 1760670624

  O20120605000400

  Same enrollment

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Balfour Vision Optix Optometry Inc.

  • Optometrist
  • Antioch, CA
  • NPI 1760670624
  NPPES parent name

Practitioners 3

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

• Winson Ong, O.D.

  • Optometrist
  • Brentwood, CA
  • NPI 1821132143
  Medicare reassignment Care Compare group NPD Authorized official
• Andrea Melendez-Ngo, O.D.

  • Optometrist
  • Livermore, CA
  • NPI 1932299328
  Medicare reassignment Care Compare group NPD
• Mary Leong, O.D.

  • Optometrist
  • Brentwood, CA
  • NPI 1003968249
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1649470741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 BALFOUR RD STE A",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 BALFOUR RD STE A",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131641",
            "telephone_number": "925-513-0323",
            "fax_number": "925-513-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALFOUR VISION OPTIX OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "WINSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-513-0323",
        "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": "SD0119381",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Tree Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Bailey, CMT
• Poonam Kaur Bains, O.D.
• Simranveer Bains
• India Alyse Izidoro Baker
• Balance Physical Therapy, Inc.
• Amanda Balog, MA, ED.S
• Brandii-Rachelle Balon-Keleti
• Jersen Bradly Baltazar
• Maja Baluta
• Gerard Banaga, D.D.S.

• Optometrist in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.