NPIMap

Organization Active NPI

Optical Center

  • Optician
  • Riverside, CA
National Provider Identifier
1952545824
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
OPTICAL CENTER
Practice address
23640 N St BLDG 758
Riverside, CA 92518-1893
Phone
(951) 656-9204
NPI assigned
Apr 23, 2009
Organization subpart
Yes
Parent organization
NATIONAL VISION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Susan Edick
Title
MC Assistant
Phone
(678) 892-3774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

23640 N St BLDG 758
Riverside, CA 92518-1893

Mailing address

296 Grayson Hwy
Lawrenceville, GA 30045-5737
Phone (770) 822-3600

National Provider Directory

National Provider Directory
Tax ID family
Wal Mart Vision Ctr 2141,614 organizations share this tax ID, including this one
Part of
Wal Mart Vision Ctr 214

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1952545824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 GRAYSON HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300455737",
            "telephone_number": "770-822-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23640 N ST BLDG 758",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925181893",
            "telephone_number": "951-656-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL VISION, INC.",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "EDICK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MC ASSISTANT",
        "authorized_official_telephone_number": "678-892-3774"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.