NPIMap

Organization Active NPI

Premier Vision Optometry Inc.

  • Optometrist
  • Arcadia, CA
National Provider Identifier
1649588013
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PREMIER VISION OPTOMETRY INC.
Practice address
1 W Duarte Rd
Suite B
Arcadia, CA 91007-6930
Phone
(626) 446-6300
Fax
(626) 446-6301
NPI assigned
Sep 20, 2010
Last updated
Mar 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Dr. Juliet Tsai, O.D.NPI 1699906826
Title
Owner
Phone
(626) 446-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X

Addresses

Primary practice location

1 W Duarte Rd
Suite B
Arcadia, CA 91007-6930

Mailing address

1 W. Duarte Rd.
Suite B
Arcadia, CA 91007
Phone (626) 446-6300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110302000505 CA Part B Supplier - Clinic/Group Practice 1456532027 Receives reassigned benefits from 1 practitioner
Practice locations: Arcadia, CA

National Provider Directory

National Provider Directory

Locations

1 W Duarte Rd
Ste B
Arcadia, CA 91007
Phone (626) 446-6300

Practitioners & affiliated clinicians

Practitioners 4

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": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1649588013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W. DUARTE RD.",
            "address_2": "SUITE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91007",
            "telephone_number": "626-446-6300",
            "fax_number": "626-446-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W DUARTE RD",
            "address_2": "SUITE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076930",
            "telephone_number": "626-446-6300",
            "fax_number": "626-446-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER VISION OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "JULIET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-446-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.