Organization Active NPI

Firstsight Vision Services, Inc.

  • Optometrist
  • Upland, CA
National Provider Identifier
1750508974
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
933342 Issued in CA
Legal business name
FIRSTSIGHT VISION SERVICES, INC.
Practice address
1202 Monte Vista Ave
Suite 17
Upland, CA 91786-8208
Phone
(909) 920-5008
Fax
(909) 932-0062
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert K Patton
Title
President and Ceo
Phone
(909) 920-5008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 933342 CA Primary

Addresses

Primary practice location

1202 Monte Vista Ave
Suite 17
Upland, CA 91786-8208

Mailing address

1202 Monte Vista Ave
Suite 17
Upland, CA 91786-8208
Phone (909) 920-5008

Other identifiers 1

IdentifierTypeStateIssuer
933342OtherCADMHC PLAN NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750508974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MONTE VISTA AVE",
            "address_2": "SUITE 17",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868208",
            "telephone_number": "909-920-5008",
            "fax_number": "909-932-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 MONTE VISTA AVE",
            "address_2": "SUITE 17",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868208",
            "telephone_number": "909-920-5008",
            "fax_number": "909-932-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTSIGHT VISION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "909-920-5008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "933342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMHC PLAN NUMBER",
            "identifier": "933342",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.