Organization Active NPI

Vision Institute of Southern California a Professional Medical Corpora

  • Ophthalmologic Surgery Clinic/Center
  • City of Industry, CA
National Provider Identifier
1770865735
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
207W00000X Issued in CA
Legal business name
VISION INSTITUTE OF SOUTHERN CALIFORNIA A PROFESSIONAL MEDICAL CORPORA
Practice address
18725 Gale Ave Ste 140
City of Industry, CA 91748-1358
Phone
(626) 854-2020
Fax
(626) 854-2021
NPI assigned
Sep 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Authorized official

Name
Mr. Robert Ting-Chay Lin, M.D
Title
President
Phone
(626) 854-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 207W00000X CA Primary

Addresses

Primary practice location

18725 Gale Ave Ste 140
City of Industry, CA 91748-1358

Mailing address

18725 Gale Ave Ste 140
City of Industry, CA 91748-1358
Phone (626) 854-2020

Other identifiers 1

IdentifierTypeStateIssuer
00A559520MedicaidCA

National Provider Directory

National Provider Directory

Locations

18501 Gale Ave
Ste 150
City of Industry, CA 91748
Phone (626) 854-2020

18725 Gale Ave
Ste 140
City of Industry, CA 91748
Phone (626) 854-2020

20269 Stevens Creek Blvd
Cupertino, CA 95014
Phone (408) 296-0100

15477 Ventura Blvd
Ste 102
Sherman Oaks, CA 91403
Phone (818) 789-0723

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1770865735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18725 GALE AVE STE 140",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481358",
            "telephone_number": "626-854-2020",
            "fax_number": "626-854-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18725 GALE AVE STE 140",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481358",
            "telephone_number": "626-854-2020",
            "fax_number": "626-854-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION INSTITUTE OF SOUTHERN CALIFORNIA A PROFESSIONAL MEDICAL CORPORA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TING-CHAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-854-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "207W00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A559520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.