Organization Active NPI

Sunrise Optometry Inc

  • Optometrist
  • Eastvale, CA
National Provider Identifier
1679985048
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11758T Issued in CA
Legal business name
SUNRISE OPTOMETRY INC
Practice address
12435 Limonite Ave
Suite 560
Eastvale, CA 91752-2455
Phone
(951) 681-2816
Fax
(951) 685-6866
NPI assigned
May 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Vinnie TieuNPI 1144302654
Title
Optometrist
Phone
(951) 681-2816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11758T CA Primary

Addresses

Primary practice location

12435 Limonite Ave
Suite 560
Eastvale, CA 91752-2455

Mailing address

12435 Limonite Ave
Suite 560
Eastvale, CA 91752-2455
Phone (951) 681-2816

Other identifiers 1

IdentifierTypeStateIssuer
SD0117580MedicaidCA

National Provider Directory

National Provider Directory

Locations

12435 Limonite Ave
Ste 560
Eastvale, CA 91752
Phone (951) 681-2816

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1679985048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12435 LIMONITE AVE",
            "address_2": "SUITE 560",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917522455",
            "telephone_number": "951-681-2816",
            "fax_number": "951-685-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12435 LIMONITE AVE",
            "address_2": "SUITE 560",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917522455",
            "telephone_number": "951-681-2816",
            "fax_number": "951-685-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "TIEU",
        "authorized_official_first_name": "VINNIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "951-681-2816"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11758T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0117580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.