Organization Active NPI

Richard L Silver OD PC Stacey Sumnerprofessional Visioncare Associates

  • Optometrist
  • Sherman Oaks, CA
National Provider Identifier
1992749287
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6805T Issued in CA
Legal business name
RICHARD L SILVER OD PC STACEY SUMNERPROFESSIONAL VISIONCARE ASSOCIATES
Practice address
14607 Ventura Blvd
Sherman Oaks, CA 91403-3617
Phone
(818) 789-3311
Fax
(818) 789-1047
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Dr. Richard Lee Silver, O.D.NPI 1609851302
Title
Partner/Optometrist
Phone
(818) 789-3311

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6805T CA Primary

Addresses

Primary practice location

14607 Ventura Blvd
Sherman Oaks, CA 91403-3617

Mailing address

14607 Ventura Blvd
Sherman Oaks, CA 91403-3617
Phone (818) 789-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081205000086 CA Part B Supplier - Clinic/Group Practice 0143381467 Receives reassigned benefits from 4 practitioners
Practice locations: Sherman Oaks, CA
O20100930020929 CA DME Supplier - Physician - Optometrist 0143381467 Practice locations: Sherman Oaks, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Professional Visioncare Associates14607 Ventura Blvd, Sherman Oaks, CA 91403-3617(818) 789-3311 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since May 12, 2008

National Provider Directory

National Provider Directory

Locations

14607 Ventura Blvd
Sherman Oaks, CA 91403
Phone (818) 789-3311

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1992749287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14607 VENTURA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033617",
            "telephone_number": "818-789-3311",
            "fax_number": "818-789-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14607 VENTURA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033617",
            "telephone_number": "818-789-3311",
            "fax_number": "818-789-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L SILVER OD PC STACEY SUMNERPROFESSIONAL VISIONCARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PARTNER/OPTOMETRIST",
        "authorized_official_telephone_number": "818-789-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6805T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.