NPIMap

Organization Active NPI

Centro Optico Familiar Inc

Doing business as Altavista Optical

  • Optician
  • Huntington Park, CA
National Provider Identifier
1841477486
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
CL538 Issued in CA
Legal business name
CENTRO OPTICO FAMILIAR INC
Doing business as
Altavista Optical
Practice address
6051 Pacific Blvd
Huntington Park, CA 90255-2933
Phone
(323) 583-9999
Fax
(323) 583-1344
NPI assigned
Jan 25, 2008
Last updated
Jan 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Mr. George VitaleNPI 1720299035
Title
Optician/Owner
Phone
(323) 583-9999

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X CL538 CA Primary

Addresses

Primary practice location

6051 Pacific Blvd
Huntington Park, CA 90255-2933

Mailing address

6051 Pacific Blvd
Huntington Park, CA 90255-2933
Phone (323) 583-9999

Other identifiers 2

IdentifierTypeStateIssuer
CA4086OtherCAEYEMED
DX003565FOtherCAMEDICAL

Other names 1

  • Altavista Optical Doing business as

National Provider Directory

National Provider Directory

Locations

6051 Pacific Blvd
Huntington Park, CA 90255
Phone (323) 583-1344

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1841477486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552933",
            "telephone_number": "323-583-9999",
            "fax_number": "323-583-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552933",
            "telephone_number": "323-583-9999",
            "fax_number": "323-583-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO OPTICO FAMILIAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "VITALE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OPTICIAN/OWNER",
        "authorized_official_telephone_number": "323-583-9999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "CL538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "CA4086",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "DX003565F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altavista Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.