Active NPI
Vision Professionals a Medical Corporation
- Ophthalmology Physician
- Yucca Valley, CA
National Provider Identifier
1881721918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- VISION PROFESSIONALS A MEDICAL CORPORATION
- Practice address
- 57019 Yucca TRL
Ste D
Yucca Valley, CA 92284-7909 - Phone
- (760) 369-7350
- Fax
- (760) 369-7352
- NPI assigned
- Feb 27, 2007
- Last updated
- Feb 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rita Tindell
- Title
- Billing
- Phone
- (760) 320-7051
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
57019 Yucca TRL
Ste D
Yucca Valley, CA 92284-7909
Mailing address
57019 Yucca TRL
Ste D
Yucca Valley, CA 92284-7909
Phone (760) 369-7350
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361145600000",
"number": "1881721918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57019 YUCCA TRL",
"address_2": "STE D",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922847909",
"telephone_number": "760-369-7350",
"fax_number": "760-369-7352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57019 YUCCA TRL",
"address_2": "STE D",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922847909",
"telephone_number": "760-369-7350",
"fax_number": "760-369-7352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISION PROFESSIONALS A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2013-02-18",
"status": "A",
"authorized_official_last_name": "TINDELL",
"authorized_official_first_name": "RITA",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "760-320-7051"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.