Organization Active NPI

Milestones Optometry, Inc.

  • Optometrist
  • San Marcos, CA
National Provider Identifier
1841703733
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14788 Issued in CA
Legal business name
MILESTONES OPTOMETRY, INC.
Practice address
640 Grand Ave Ste 101
San Marcos, CA 92078-1228
Phone
(619) 315-8636
NPI assigned
Nov 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Dr. Danny Nguyen Vandan, OD
Title
Owner
Phone
(619) 315-8636

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 14788 CA Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X

Addresses

Primary practice location

640 Grand Ave Ste 101
San Marcos, CA 92078-1228

Mailing address

640 Grand Ave Ste 101
San Marcos, CA 92078-1207
Phone (760) 736-0020

Other names 1

  • Milestones Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

4240 Kearny Mesa Rd
Ste 101
San Diego, CA 92111
Phone (858) 565-1001

640 Grand Ave
Ste 101
San Marcos, CA 92078
Phone (619) 315-8636

Practitioners & affiliated clinicians

Practitioners 3

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": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1841703733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 GRAND AVE STE 101",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781207",
            "telephone_number": "760-736-0020",
            "fax_number": "760-736-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 GRAND AVE STE 101",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781228",
            "telephone_number": "619-315-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "VANDAN",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "NGUYEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-315-8636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14788",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milestones Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.