Balfour Vision Optix Optometry Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BALFOUR VISION OPTIX OPTOMETRY INC.

Practice address

5113 Lone Tree Way
Antioch, CA 94531-8484

Phone

(925) 778-1505

NPI assigned

Oct 4, 2007

Organization subpart

Yes

Parent organization

BALFOUR VISION OPTIX OPTOMETRY, INC.As reported in NPPES

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

Authorized official

Name

Winson Ong, O.D.

Title

Owner

Phone

(925) 513-0323

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lone Tree Vision Optix Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Balfour Vision Optix Optometry, Inc.

  • Optometrist
  • Brentwood, CA
  • NPI 1649470741

  O20120605000400

  Same enrollment

Part of

Balfour Vision Optix Optometry Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Balfour Vision Optix Optometry, Inc.

  • Optometrist
  • Brentwood, CA
  • NPI 1649470741
  NPPES parent name

Practitioners 2

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

• Mary Leong, O.D.

  • Optometrist
  • Brentwood, CA
  • NPI 1003968249
  NPD
• Andrea Melendez-Ngo, O.D.

  • Optometrist
  • Livermore, CA
  • NPI 1932299328
  NPD

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564876800000",
    "number": "1760670624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 BALFOUR RD STE A",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131641",
            "telephone_number": "925-513-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318484",
            "telephone_number": "925-778-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALFOUR VISION OPTIX OPTOMETRY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BALFOUR VISION OPTIX OPTOMETRY, INC.",
        "enumeration_date": "2007-10-04",
        "last_updated": "2019-08-04",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "WINSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-513-0323",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0119381",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Tree Vision Optix Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Mary Baker, P.A.-C
• Jeanette Bakhsh, PSY.D
• Donna Bakun, CCAPP
• Angelina Baldocchi I
• Karyn Stacey Baldwin, PTA
• Jaimie Balingit
• Joshua Ballesteros
• Bolanle Bolaji Balogun, PMHNP
• Michelle Ablaza Bandy
• Emily Banks

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2019; 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.