Regency Eye Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

REGENCY EYE CARE, INC.

Practice address

10734 Trinity Pkwy Ste C
Stockton, CA 95219-7232

Phone

(209) 715-6864

Fax

(209) 477-5910

NPI assigned

Jan 28, 2022

Organization subpart

No

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

Authorized official

Name

Leahann Rene Vaughn

Title

Director

Phone

(470) 448-2782

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1689327892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 COMMERCE AVE BLDG 2200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964980",
            "telephone_number": "470-448-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10734 TRINITY PKWY STE C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197232",
            "telephone_number": "209-715-6864",
            "fax_number": "209-477-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "LEAHANN",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "470-448-2782"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Stockton, CA
• Providers in Stockton, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.