Organization Active NPI

Lingua Vision Surgical Group

  • Ophthalmology Physician
  • Fullerton, CA
National Provider Identifier
1811158744
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G32910 Issued in CA
Legal business name
LINGUA VISION SURGICAL GROUP
Practice address
301 W Bastanchury Rd
Suite 115
Fullerton, CA 92835-3419
Phone
(714) 525-2251
Fax
(714) 525-3439
NPI assigned
Jun 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Robert Lingua, M.D.
Title
Owner
Phone
(714) 525-2251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G32910 CA Primary

Addresses

Primary practice location

301 W Bastanchury Rd
Suite 115
Fullerton, CA 92835-3419

Mailing address

301 W Bastanchury Rd
Suite 115
Fullerton, CA 92835-3419
Phone (714) 525-2251

Other identifiers 1

IdentifierTypeStateIssuer
00G329100MedicaidCA

National Provider Directory

National Provider Directory

Locations

301 W Bastanchury Rd
Ste 115
Fullerton, CA 92835
Phone (714) 525-2151

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1811158744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W BASTANCHURY RD",
            "address_2": "SUITE 115",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353419",
            "telephone_number": "714-525-2251",
            "fax_number": "714-525-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BASTANCHURY RD",
            "address_2": "SUITE 115",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353419",
            "telephone_number": "714-525-2251",
            "fax_number": "714-525-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINGUA VISION SURGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "LINGUA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-525-2251",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G32910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G329100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.