Organization Active NPI

Downtown Vacaville Eyecare, Inc an Optometric Corporation

  • Optometrist
  • Vacaville, CA
National Provider Identifier
1770920407
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11196T Issued in CA
Legal business name
DOWNTOWN VACAVILLE EYECARE, INC AN OPTOMETRIC CORPORATION
Practice address
340 Cernon St
Vacaville, CA 95688-4502
Phone
(707) 446-2090
Fax
(707) 446-4406
NPI assigned
Jun 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Dr. Hang T Nhan, OD
Title
Ceo
Phone
(707) 446-2090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11196T CA Primary

Addresses

Primary practice location

340 Cernon St
Vacaville, CA 95688-4502

Mailing address

340 Cernon St
Vacaville, CA 95688-4502
Phone (707) 446-2090

National Provider Directory

National Provider Directory

Locations

340 Cernon St
Vacaville, CA 95688
Phone (707) 446-2090

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": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1770920407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 CERNON ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884502",
            "telephone_number": "707-446-2090",
            "fax_number": "707-446-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 CERNON ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884502",
            "telephone_number": "707-446-2090",
            "fax_number": "707-446-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN VACAVILLE EYECARE, INC AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "NHAN",
        "authorized_official_first_name": "HANG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-446-2090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11196T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.