Active NPI
Manuel E Vasquez, CERTIFIED OPTICIAN
- Optician
- Torrance, CA
National Provider Identifier
1922289834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 164004
- Practice address
- 3565 Del Amo Blvd
Torrance, CA 90503-1637 - Phone
- (310) 214-0811
- Fax
- (310) 793-4658
- NPI assigned
- Nov 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 164004 | CA | Primary |
Addresses
Primary practice location
3565 Del Amo Blvd
Torrance, CA 90503-1637
Mailing address
PO Box 6900
Torrance, CA 90504-0100
Phone (310) 214-0811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164004 | CA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1922289834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6900",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905040100",
"telephone_number": "310-214-0811",
"fax_number": "310-793-4658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3565 DEL AMO BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905031637",
"telephone_number": "310-214-0811",
"fax_number": "310-793-4658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "MANUEL",
"middle_name": "E",
"credential": "CERTIFIED OPTICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-19",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "164004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.