Organization Active NPI

Vision Professionals a Medical Corporation

  • Ophthalmology Physician
  • Yucca Valley, CA
National Provider Identifier
1881721918
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.