Cervantes Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

12923 Issued in CA

Legal business name

CERVANTES OPTOMETRIC CORPORATION

Doing business as

Ramona Eye Care

Practice address

1662 Main St Ste B
Ramona, CA 92065-5231

Phone

(760) 788-3622

NPI assigned

Nov 25, 2008

Organization subpart

No

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

Authorized official

Name

Susan Truong Cervantes, O.D.NPI 1164423240

Title

Owner

Phone

(760) 788-3622

Specialties & licenses 1

Addresses

Other names 1

• Ramona Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Truong Cervantes, O.D.

  • Optometrist
  • Ramona, CA
  • NPI 1164423240
  Medicare reassignment Care Compare group NPD Authorized official
• Megan Lopez Bernhard, OD, FAAO

  • Optometrist
  • Arlington, MA
  • NPI 1811488653

  CA

  Medicare reassignment Care Compare group NPD
• Yvette Diaz, OD

  • Optometrist
  • Santee, CA
  • NPI 1285325605
  Medicare reassignment

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1750536207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 MAIN ST STE B",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920655231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 MAIN ST STE B",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920655231",
            "telephone_number": "760-788-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERVANTES OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "TRUONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-788-3622",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ramona Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Michelle Carpenter, FNP-C
• Daniel Timothy Cassidy, PT
• Siarah Marie Castillo
• Catch a Bubble Counseling Licensed Clinical Social Worker Apc
• Catch a Bubble Counseling, Licensed Clinical Social Worker, Apc
• Susan Truong Cervantes, O.D.
• Changing Options SD, Inc.
• Janessa Chase, MSW, ACSW
• Matthew Wayne Chew, HHP
• Mark B Chintala, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.