Vitreous Floater Solutions Consulting & Research Group Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G076132 Issued in CA

Legal business name

VITREOUS FLOATER SOLUTIONS CONSULTING & RESEARCH GROUP INC

Doing business as

Vitreous Floater Solutions

Practice address

2102 Business Center Dr
Suite 154
Irvine, CA 92612-1001

Phone

(949) 253-5770

Fax

(949) 253-5769

NPI assigned

Mar 12, 2010

Organization subpart

No

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

Authorized official

Name

James Harlan Johnson, M.D.

Title

Ceo

Phone

(949) 253-5770

Specialties & licenses 1

Addresses

Other names 1

• Vitreous Floater Solutions Doing business as

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1891018206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 BUSINESS CENTER DR",
            "address_2": "SUITE 154",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121001",
            "telephone_number": "949-253-5770",
            "fax_number": "949-253-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 BUSINESS CENTER DR",
            "address_2": "SUITE 154",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121001",
            "telephone_number": "949-253-5770",
            "fax_number": "949-253-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITREOUS FLOATER SOLUTIONS CONSULTING & RESEARCH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HARLAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-253-5770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G076132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitreous Floater Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Specialty Clinic/Center in Irvine, CA
• Providers in Irvine, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.