Individual provider Active NPI

Patrick Cameron Vanhoose, O.D.

  • Occupational Vision Optometrist
  • San Diego, CA
National Provider Identifier
1811024516
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
License
OPT6576T Issued in CA
Practice address
7246 Clairemont Mesa Blvd
San Diego, CA 92111-1007
Phone
(858) 292-7193
Fax
(858) 292-8247
NPI assigned
Feb 28, 2007
Last updated
Aug 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPT6576T CA
Occupational Vision Optometrist 152WX0102X OPT6576T CA Primary

Addresses

Primary practice location

7246 Clairemont Mesa Blvd
San Diego, CA 92111-1007

Mailing address

7246 Clairemont Mesa Blvd
San Diego, CA 92111-1007
Phone (858) 292-7193

Other identifiers 1

IdentifierTypeStateIssuer
SD22096AMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT6576TCAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Van Hoose Optometric Corporation Corneal and Contact Management CurrentSince Nov 9, 2021 Accepting new patients
Vanhoose & Kimball Optometric Corp PastSince Jul 3, 2002 Accepting new patients

Locations

7246 Clairemont Mesa Blvd
San Diego, CA 92111
Phone (858) 292-7193

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1811024516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7246 CLAIREMONT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111007",
            "telephone_number": "858-292-7193",
            "fax_number": "858-292-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7246 CLAIREMONT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111007",
            "telephone_number": "858-292-7193",
            "fax_number": "858-292-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOOSE",
        "first_name": "PATRICK",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "OPT6576T",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CA",
            "license": "OPT6576T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD22096A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.