Eye Spy Vision Care Optometry, Inc

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

OPT 12138 TPA Issued in CA

Legal business name

EYE SPY VISION CARE OPTOMETRY, INC

Doing business as

Eye Spy Vision Care Optometry

Practice address

2291 Soscol Ave
Suite B
Napa, CA 94558-3620

Phone

(707) 253-7111

Fax

(707) 253-7192

NPI assigned

Nov 28, 2006

Last updated

Jan 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tanya K Mahaphon, O.D.NPI 1003918012

Title

President

Phone

(707) 253-7111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eye Spy Vision Care Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Tanya K Mahaphon, O.D.

  • Vision Therapy Optometrist
  • Napa, CA
  • NPI 1003918012
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1952477416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 SOSCOL AVE",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583620",
            "telephone_number": "707-253-7111",
            "fax_number": "707-253-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 SOSCOL AVE",
            "address_2": "SUITE B",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583620",
            "telephone_number": "707-253-7111",
            "fax_number": "707-253-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SPY VISION CARE OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "MAHAPHON",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-253-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "OPT 12138 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL DOCTOR",
            "identifier": "1003918012",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Spy Vision Care Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa C Evans
• Jennifer Chen Everett, L.AC.
• Eric David Ewig, PT
• Eye Care Center of Napa Valley a Medical Corporation
• Eye Specialists Medical Group of Napa Valley Inc
• Eyelliance Vision Partners ASC LLC (Precision Surgery Center of Napa Valley)
• Toefuiono Faaleava Sanchez
• Janeen Fabulae, LMFT
• Ashley Fagerness
• Medina Fahim

• Vision Therapy Optometrist in Napa, CA
• Providers in Napa, CA by specialty
• Vision Therapy Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.