NPIMap

Organization Active NPI

Visually Sound Optometry

  • Optometrist
  • Folsom, CA
National Provider Identifier
1699201087
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5233TPA Issued in CA
Legal business name
VISUALLY SOUND OPTOMETRY
Practice address
410 Palladio Pkwy
1625
Folsom, CA 95630-8828
Phone
(916) 985-6399
Fax
(916) 985-0601
NPI assigned
May 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Authorized official

Name
Samantha Vavricek, O.D.
Title
Owner
Phone
(916) 985-6399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 5233TPA CA Primary

Addresses

Primary practice location

410 Palladio Pkwy
1625
Folsom, CA 95630-8828

Mailing address

2920 Cold Springs Rd Ste B
Placerville, CA 95667-4236
Phone (530) 626-7460

Other practice location 1

2920 Cold Springs Rd Ste B
Placerville, CA 95667-4236
Phone (530) 626-7460

National Provider Directory

National Provider Directory

Locations

2920 Cold Springs Rd
Ste B
Placerville, CA 95667
Phone (530) 626-7460

Practitioners & affiliated clinicians

Practitioners 5

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": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1699201087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 COLD SPRINGS RD STE B",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674236",
            "telephone_number": "530-626-7460",
            "fax_number": "916-985-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PALLADIO PKWY",
            "address_2": "1625",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308828",
            "telephone_number": "916-985-6399",
            "fax_number": "916-985-0601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 Cold Springs Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Placerville",
            "state": "CA",
            "postal_code": "956674236",
            "country_code": "US",
            "telephone_number": "530-626-7460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISUALLY SOUND OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "VAVRICEK",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-985-6399",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5233TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.