Barbara Villa OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 10245 TPA Issued in CA

Legal business name

BARBARA VILLA OD PC

Practice address

2700 Park Avenue
Tustin, CA 92782

Phone

(714) 259-1530

Fax

(714) 259-1532

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Barbara Jean Villa, ODNPI 1104037456

Title

Principal Officer

Phone

(949) 400-1530

Specialties & licenses 1

Addresses

Practitioners 1

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

• Barbara Jean Villa, O.D.

  • Optometrist
  • Tustin, CA
  • NPI 1104037456
  NPD (past) Authorized official

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902007446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28331 LA PLUMOSA",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777050",
            "telephone_number": "949-400-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 PARK AVENUE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92782",
            "telephone_number": "714-259-1530",
            "fax_number": "714-259-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA VILLA OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRINCIPAL OFFICER",
        "authorized_official_telephone_number": "949-400-1530",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 10245 TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Tustin, CA
• Providers in Tustin, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.