Organization Active NPI

Taras Litvin, O.D., Inc.

  • Optometrist
  • Petaluma, CA
National Provider Identifier
1649530536
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13726TLG Issued in CA
Legal business name
TARAS LITVIN, O.D., INC.
Doing business as
Access Eye Care Optometry
Practice address
921 Transport Way
Suite #18
Petaluma, CA 94954-1461
Phone
(415) 375-0042
NPI assigned
May 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Dr. Taras V. Litvin, O.D.
Title
Ceo
Phone
(510) 557-9279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13726TLG CA Primary

Addresses

Primary practice location

921 Transport Way
Suite #18
Petaluma, CA 94954-1461

Mailing address

921 Transport Way
Suite #18
Petaluma, CA 94954-1461
Phone (415) 375-0042

Other names 1

  • Access Eye Care Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

921 Transport Way
Ste 18
Petaluma, CA 94954
Phone (415) 375-0042

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1649530536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 TRANSPORT WAY",
            "address_2": "SUITE #18",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541461",
            "telephone_number": "415-375-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 TRANSPORT WAY",
            "address_2": "SUITE #18",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541461",
            "telephone_number": "415-375-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARAS LITVIN, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "LITVIN",
        "authorized_official_first_name": "TARAS",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-557-9279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13726TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Eye Care Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.