Ic 20/20 Vision Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

IC 20/20 VISION INC.

Practice address

8350 On the Mall # 250U
Buena Park, CA 90620-3216

Phone

(714) 878-8824

NPI assigned

Nov 5, 2019

Organization subpart

No

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

Authorized official

Name

Stefanie Shifferd

Title

President

Phone

(714) 878-8824

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1659915353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 ON THE MALL # 250U",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203216",
            "telephone_number": "714-878-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 ON THE MALL # 250U",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203216",
            "telephone_number": "714-878-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IC 20/20 VISION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "SHIFFERD",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-878-8824"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Desha Marie Hughes, MHW
• Sokan L Hunro, PA
• Precious Faith Hwang, OD
• Sara Hwang, MSW
• Young Sun Hwang
• Ghazi Samir Idriss, D.C.
• John Ikeda, O.D.
• Osamu Ikeda, O.D.
• Soo Hyuck Im, O.M.D.
• Marina Imanaka

• Optician in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.