Active NPI
Douglas O. Charters & Kenneth L. Hieb
- Optometrist
- Visalia, CA
National Provider Identifier
1669596839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DOUGLAS O. CHARTERS & KENNETH L. HIEB
- Practice address
- 3749 S Mooney Blvd
Visalia, CA 93277-8000 - Phone
- (559) 733-9966
- Fax
- (559) 625-8913
- NPI assigned
- Mar 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth Lyle Hieb, O.D.
- Title
- Partner
- Phone
- (559) 733-9966
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3749 S Mooney Blvd
Visalia, CA 93277-8000
Mailing address
3749 S Mooney Blvd
Visalia, CA 93277-8000
Phone (559) 733-9966
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 422920001 | Other | CA | MEDICARE D.M.E. GROUP I.D |
| ZZZ75398Z | Medicaid | CA |
Other names 1
- VISALIA VALLEY OPTOMETRIC GROUP
National Provider Directory
National Provider DirectoryLocations
3749 S Mooney Blvd
Visalia, CA 93277
Phone (559) 733-9966
3629 S Mooney Blvd
Visalia, CA 93277
Phone (559) 733-9966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331510400000",
"number": "1669596839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3749 S MOONEY BLVD",
"city": "VISALIA",
"state": "CA",
"postal_code": "932778000",
"telephone_number": "559-733-9966",
"fax_number": "559-625-8913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3749 S MOONEY BLVD",
"city": "VISALIA",
"state": "CA",
"postal_code": "932778000",
"telephone_number": "559-733-9966",
"fax_number": "559-625-8913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS O. CHARTERS & KENNETH L. HIEB",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2012-03-12",
"status": "A",
"authorized_official_last_name": "HIEB",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "LYLE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "559-733-9966",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE D.M.E. GROUP I.D",
"identifier": "422920001",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ75398Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VISALIA VALLEY OPTOMETRIC GROUP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.