Organization Active NPI

Cerritos Vision Optometry, Inc.

  • Optometrist
  • Cerritos, CA
National Provider Identifier
1750142592
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CERRITOS VISION OPTOMETRY, INC.
Practice address
12701 Towne Center Dr
Cerritos, CA 90703-9348
Phone
(562) 809-2517
NPI assigned
Jan 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Dr. Tiffany Vo, OD
Title
Doctor of Optometry
Phone
(714) 856-3088

Specialties & licenses 1

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

Addresses

Primary practice location

12701 Towne Center Dr
Cerritos, CA 90703-9348

Mailing address

16463 Sycamore St
Fountain Valley, CA 92708-2041

National Provider Directory

National Provider Directory

Locations

12701 Towne Center Dr
Cerritos, CA 90703
Phone (562) 809-2517

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": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1750142592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16463 SYCAMORE ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 TOWNE CENTER DR",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039348",
            "telephone_number": "562-809-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERRITOS VISION OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "714-856-3088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.