Active NPI
Varsha Mathur Optometric Professional Corporation
- Optometrist
- Visalia, CA
National Provider Identifier
1902629652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- VARSHA MATHUR OPTOMETRIC PROFESSIONAL CORPORATION
- Practice address
- 3749 S Mooney Blvd
Visalia, CA 93277-8000 - Phone
- (559) 733-9966
- Fax
- (559) 318-5775
- NPI assigned
- Nov 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Varsha Mathur, OD
- Title
- Optometrist
- Phone
- (909) 979-7335
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3749 S Mooney Blvd
Visalia, CA 93277-8000
Mailing address
149 E Elkhorn Ave
Visalia, CA 93277-9172
Phone (909) 979-7335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800348258 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Visalia, CA
- NPI 1881007748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730419200000",
"number": "1902629652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 E ELKHORN AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932779172",
"telephone_number": "909-979-7335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3749 S MOONEY BLVD",
"city": "VISALIA",
"state": "CA",
"postal_code": "932778000",
"telephone_number": "559-733-9966",
"fax_number": "559-318-5775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VARSHA MATHUR OPTOMETRIC PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-01",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A",
"authorized_official_last_name": "MATHUR",
"authorized_official_first_name": "VARSHA",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "909-979-7335",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "800348258",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.