NPIMap

Organization Active NPI

Third Optometric Care of California

Doing business as Optometry on Orangethorpe

  • Optometrist
  • Buena Park, CA
National Provider Identifier
1891468849
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
THIRD OPTOMETRIC CARE OF CALIFORNIA
Doing business as
Optometry on Orangethorpe
Practice address
7960 Orangethorpe Ave
Buena Park, CA 90621-3437
Phone
(714) 521-3002
NPI assigned
Jul 27, 2021
Last updated
Jul 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Winnie Smith
Title
Credentialing Manager
Phone
(614) 784-5331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

7960 Orangethorpe Ave
Buena Park, CA 90621-3437

Mailing address

3333 Quality Dr
Rancho Cordova, CA 95670-7985
Phone (916) 407-7156

Other names 1

  • Optometry on Orangethorpe Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210427002381 CA Part B Supplier - Clinic/Group Practice 8325456536 Receives reassigned benefits from 28 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Auburn, CA; Buena Park, CA; Elk Grove, CA; Irvine, CA; Ojai, CA; Palmdale, CA; Rancho Cordova, CA; Rialto, CA…

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Antelope Mall Vision Center Optometry11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1891468849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 QUALITY DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707985",
            "telephone_number": "916-407-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 ORANGETHORPE AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213437",
            "telephone_number": "714-521-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD OPTOMETRIC CARE OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WINNIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "614-784-5331"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optometry on Orangethorpe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.