Active NPI
Patrick Cameron Vanhoose, O.D.
- Occupational Vision Optometrist
- San Diego, CA
National Provider Identifier
1811024516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Vision Optometrist
- License
- OPT6576T
- 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, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD22096A | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPT6576T | CA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van Hoose Optometric Corporation | Corneal and Contact Management | Current | Accepting new patients |
| Vanhoose & Kimball Optometric Corp | Past | 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.
-
- Optometrist
- San Diego, CA
- NPI 1770248155
Corneal and Contact Management
-
- Optometrist
- San Diego, CA
- NPI 1790969236
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.