Organization Active NPI

Valley Center Optometry Apc

  • Optometrist
  • Valley Center, CA
National Provider Identifier
1750545406
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12928 Issued in CA
Legal business name
VALLEY CENTER OPTOMETRY APC
Practice address
29115 Valley Center Rd
Suite E
Valley Center, CA 92082-6553
Phone
(760) 751-8771
Fax
(760) 751-8772
NPI assigned
Jul 11, 2008
Last updated
Mar 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Robert J Joyce, O.D.NPI 1275585127
Title
President
Phone
(760) 751-8771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12928 CA Primary

Addresses

Primary practice location

29115 Valley Center Rd
Suite E
Valley Center, CA 92082-6553

Mailing address

29115 Valley Center Rd
Suite E
Valley Center, CA 92082-6553
Phone (760) 751-8771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090423000204 CA Part B Supplier - Clinic/Group Practice 5597813915 Receives reassigned benefits from 2 practitioners
Practice locations: Valley Center, CA

National Provider Directory

National Provider Directory

Locations

13826 Woods Valley Rd
Valley Center, CA 92082
Phone (760) 751-8771

29115 Valley Center Rd
Ste E
Valley Center, CA 92082
Phone (760) 751-8771

Practitioners & affiliated clinicians

Practitioners 4

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": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1750545406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29115 VALLEY CENTER RD",
            "address_2": "SUITE E",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826553",
            "telephone_number": "760-751-8771",
            "fax_number": "760-751-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29115 VALLEY CENTER RD",
            "address_2": "SUITE E",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826553",
            "telephone_number": "760-751-8771",
            "fax_number": "760-751-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CENTER OPTOMETRY APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "JOYCE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-751-8771",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Center, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.