Nut Tree Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT13111TPL Issued in CA

Legal business name

NUT TREE OPTOMETRIC CORPORATION

Practice address

1633 E Monte Vista Ave
101
Vacaville, CA 95688-3106

Phone

(916) 903-6876

NPI assigned

Sep 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Fahim Kabir, O.D.

Title

President

Phone

(916) 903-6876

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1891196341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 E MONTE VISTA AVE",
            "address_2": "101",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 E MONTE VISTA AVE",
            "address_2": "101",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883106",
            "telephone_number": "916-903-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUT TREE OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "KABIR",
        "authorized_official_first_name": "FAHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-903-6876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13111TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.