Organization Active NPI

Danville Optometric Group, Inc.

  • Optometrist
  • Danville, CA
National Provider Identifier
1710151790
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 5475 TPA Issued in CA
Legal business name
DANVILLE OPTOMETRIC GROUP, INC.
Practice address
3464 Camino Tassajara
Danville, CA 94506-4680
Phone
(925) 736-4911
Fax
(925) 736-8272
NPI assigned
Apr 21, 2008
Last updated
Jul 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Dr. Peter S Visendi, O.D.NPI 1518029693
Title
Owner
Phone
(925) 736-4911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT 5475 TPA CA Primary

Addresses

Primary practice location

3464 Camino Tassajara
Danville, CA 94506-4680

Mailing address

3464 Camino Tassajara
Danville, CA 94506-4680
Phone (925) 736-4911

National Provider Directory

National Provider Directory

Locations

3464 Camino Tassajara
Danville, CA 94506
Phone (925) 736-4911

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1710151790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 CAMINO TASSAJARA",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064680",
            "telephone_number": "925-736-4911",
            "fax_number": "925-736-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3464 CAMINO TASSAJARA",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064680",
            "telephone_number": "925-736-4911",
            "fax_number": "925-736-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE OPTOMETRIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-21",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "VISENDI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-736-4911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 5475 TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.