Organization Active NPI

Visual Paradise Optometry, Inc.

  • Optometrist
  • Irvine, CA
National Provider Identifier
1760819536
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12974T Issued in CA
Legal business name
VISUAL PARADISE OPTOMETRY, INC.
Practice address
13200 Jamboree Rd
Optical
Irvine, CA 92602
Phone
(714) 368-0183
Fax
(714) 368-0269
NPI assigned
Oct 10, 2013
Last updated
Oct 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Authorized official

Name
Diana M. Ciobanu, O.D.NPI 1013002179
Title
Ceo
Phone
(714) 368-0183

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
Optometrist 152W00000X 12974T CA Primary

Addresses

Primary practice location

13200 Jamboree Rd
Optical
Irvine, CA 92602

Mailing address

2555 Main St
#4067
Irvine, CA 92614
Phone (714) 368-0183

National Provider Directory

National Provider Directory
Tax ID family
Visual Paradise Optometry Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13200 Jamboree Rd
Irvine, CA 92602
Phone (714) 368-0183

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1760819536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 MAIN ST",
            "address_2": "#4067",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92614",
            "telephone_number": "714-368-0183",
            "fax_number": "714-368-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 JAMBOREE RD",
            "address_2": "OPTICAL",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92602",
            "telephone_number": "714-368-0183",
            "fax_number": "714-368-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISUAL PARADISE OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "CIOBANU",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-368-0183",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12974T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.