NPIMap

Organization Active NPI

Donald Pearcy & Van Hoose Optometric Corp., a Partnership

  • Optometrist
  • Oceanside, CA
National Provider Identifier
1811101827
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12667 Issued in CA
Legal business name
DONALD PEARCY & VAN HOOSE OPTOMETRIC CORP., A PARTNERSHIP
Doing business as
All About Eyes Optometric
Practice address
4065 Oceanside Blvd
Suite C
Oceanside, CA 92056-5824
Phone
(760) 945-2020
Fax
(760) 945-3451
NPI assigned
May 9, 2007
Reactivated
Dec 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Dr. Marc Cameron Van Hoose, O.D.NPI 1932280054
Title
Partner
Phone
(760) 560-7501

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 12667 CA Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 7911T CA

Addresses

Primary practice location

4065 Oceanside Blvd
Suite C
Oceanside, CA 92056-5824

Mailing address

4065 Oceanside Blvd
Suite C
Oceanside, CA 92056-5824
Phone (760) 945-2020

Other identifiers 4

IdentifierTypeStateIssuer
SD0126670MedicaidCA
GSD000640OtherCAMEDI-CAL GROUP ID
SD0079110MedicaidCA
W18507OtherCAMEDICARE GROUP ID

Other names 1

  • All About Eyes Optometric Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4065 Oceanside Blvd
Ste C
Oceanside, CA 92056
Phone (760) 945-2020

Practitioners & affiliated clinicians

Practitioners 1

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1811101827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 OCEANSIDE BLVD",
            "address_2": "SUITE C",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920565824",
            "telephone_number": "760-945-2020",
            "fax_number": "760-945-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 OCEANSIDE BLVD",
            "address_2": "SUITE C",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920565824",
            "telephone_number": "760-945-2020",
            "fax_number": "760-945-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD PEARCY & VAN HOOSE OPTOMETRIC CORP., A PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2009-12-16",
        "deactivation_date": "2009-02-03",
        "reactivation_date": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "VAN HOOSE",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "CAMERON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "760-560-7501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12667",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7911T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0126670",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL GROUP ID",
            "identifier": "GSD000640",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0079110",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "W18507",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All About Eyes Optometric",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.