Genetic Eye Therapies PC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

GENETIC EYE THERAPIES PC

Practice address

2895 Loma Vista Rd Ste C
Ventura, CA 93003-1535

Phone

(877) 397-9200

NPI assigned

Mar 1, 2023

Organization subpart

No

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

Authorized official

Name

Mauricio Enrique Vargas, MDNPI 1871997502

Title

Ceo

Phone

(877) 397-9200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Mauricio Enrique Vargas, M.D.

  • Ophthalmology Physician
  • Ventura, CA
  • NPI 1871997502
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1790484475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TOWN CENTER DRIVE",
            "address_2": "SUITE 300 #474",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 LOMA VISTA RD STE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031535",
            "telephone_number": "877-397-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENETIC EYE THERAPIES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-397-9200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tianzhu Ge
• Terri L Gee, LMT
• Andrew William Sinan Gelis, DO
• Geralyn Carol Gendron, MFT
• Genesis Programs, Inc.
• Gentle Care Inc- Ventura
• George Chen DO PC
• Gerckens Chiropractic and Wellness Center Inc.
• Brant L Gerckens, D.C.
• Deion Gerhard

• Retina Specialist (Ophthalmology) Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Retina Specialist (Ophthalmology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.