NPIMap

Organization Active NPI

Strickland Optometric Management Corporation

  • Optometrist
  • Sylmar, CA
National Provider Identifier
1790422293
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STRICKLAND OPTOMETRIC MANAGEMENT CORPORATION
Practice address
12737 Glenoaks Blvd Ste 3
Sylmar, CA 91342-4724
Phone
(818) 367-1015
Fax
(818) 367-3593
NPI assigned
May 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Gary Strickland, ODNPI 1053635201
Title
President
Phone
(609) 703-1257

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

12737 Glenoaks Blvd Ste 3
Sylmar, CA 91342-4724

Mailing address

12737 Glenoaks Blvd Ste 3
Sylmar, CA 91342-4724
Phone (818) 367-1015

Other names 1

  • Sylmar Optometric Vision Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL sylmarvisioncenter@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221206001039 CA Part B Supplier - Clinic/Group Practice 1355710898 Receives reassigned benefits from 4 practitioners
Practice locations: Sylmar, CA

National Provider Directory

National Provider Directory

Locations

12737 Glenoaks Blvd
Ste 3
Sylmar, CA 91342
Phone (818) 367-1015

Practitioners & affiliated clinicians

Practitioners 4

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": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1790422293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12737 GLENOAKS BLVD STE 3",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424724",
            "telephone_number": "818-367-1015",
            "fax_number": "818-367-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12737 GLENOAKS BLVD STE 3",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424724",
            "telephone_number": "818-367-1015",
            "fax_number": "818-367-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRICKLAND OPTOMETRIC MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-703-1257",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sylmarvisioncenter@gmail.com",
            "affiliation": "N",
            "address_1": "12737 Glenoaks Blvd Ste 3",
            "city": "Sylmar",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913424724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sylmar Optometric Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.