Total Vision Optometry Center, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA8747T Issued in CA

Legal business name

TOTAL VISION OPTOMETRY CENTER, INC

Practice address

13521 Sherman Way
Suite I
Van Nuys, CA 91405-2894

Phone

(818) 988-4450

Fax

(818) 988-4485

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Jeannette Iriarte, O.DNPI 1720069644

Title

Optometrist/Owner

Phone

(818) 988-4450

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeannette Iriarte, O.D

  • Optometrist
  • Van Nuys, CA
  • NPI 1720069644
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881795292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13521 SHERMAN WAY",
            "address_2": "SUITE I",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052894",
            "telephone_number": "818-988-4450",
            "fax_number": "818-988-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13521 SHERMAN WAY",
            "address_2": "SUITE I",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052894",
            "telephone_number": "818-988-4450",
            "fax_number": "818-988-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL VISION OPTOMETRY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IRIARTE",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "818-988-4450",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA8747T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.