Vanhoose & Kimball Optometric Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

6064-T Issued in CA

Legal business name

VANHOOSE & KIMBALL OPTOMETRIC CORP

Practice address

4575 La Jolla Village Dr
San Diego, CA 92122-1203

Phone

(858) 453-4112

Fax

(858) 453-4398

NPI assigned

Dec 19, 2007

Last updated

Sep 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dale W Kimball, O.D.NPI 1841355500

Title

Officer of Corp

Phone

(858) 453-4112

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Dale W Kimball, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1841355500
  Authorized official Same address or phone
• Patrick Cameron Vanhoose, O.D.

  • Occupational Vision Optometrist
  • San Diego, CA
  • NPI 1811024516
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1790969236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 LA JOLLA VILLAGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92122",
            "telephone_number": "858-453-4112",
            "fax_number": "858-453-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 LA JOLLA VILLAGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221203",
            "telephone_number": "858-453-4112",
            "fax_number": "858-453-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANHOOSE & KIMBALL OPTOMETRIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICER OF CORP",
        "authorized_official_telephone_number": "858-453-4112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6064-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0060642",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Vanfossen
• May Bao Vang
• Panhia Vang
• Wendy Vang
• Sara Vanharen, SFIDC
• Patrick Cameron Vanhoose, O.D.
• Shanan Vanin Valli, PA-C
• Michael Vaninetti, M.D.
• Timothy Mark Vankirk, O.D.
• Catherine Vanloon, BCAT

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.