Organization Active NPI

Vision Professionals a Medical Corporation

  • Ophthalmology Physician
  • Palm Desert, CA
National Provider Identifier
1770669913
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VISION PROFESSIONALS A MEDICAL CORPORATION
Practice address
41190 Cook St
BLDG G Suite 602
Palm Desert, CA 92260-0000
Phone
(760) 772-3460
Fax
(760) 836-1012
NPI assigned
Oct 31, 2006
Last updated
Sep 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Rita Tindell
Title
Billing
Phone
(760) 320-7051

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

41190 Cook St
BLDG G Suite 602
Palm Desert, CA 92260-0000

Mailing address

41990 Cook St
BLDG G Suite 602
Palm Desert, CA 92260-0000
Phone (760) 772-3460

National Provider Directory

National Provider Directory

Locations

41990 Cook St
Ste G602
Palm Desert, CA 92211
Phone (760) 600-0164

Practitioners & affiliated clinicians

Practitioners 2

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": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1770669913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41990 COOK ST",
            "address_2": "BLDG G SUITE 602",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922600000",
            "telephone_number": "760-772-3460",
            "fax_number": "760-836-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41190 COOK ST",
            "address_2": "BLDG G SUITE 602",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922600000",
            "telephone_number": "760-772-3460",
            "fax_number": "760-836-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PROFESSIONALS A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "TINDELL",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "760-320-7051"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.