IMPERIAL VALLEY OPTOMETRIC CORPORATION


Address: 1503 N Imperial Ave, Suite 103, El Centro, CA 92243-6301
Phone: 7603360010

IMPERIAL VALLEY OPTOMETRIC CORPORATION (NPI# 1508010463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508010463
Entity Type Organization
Organization Name IMPERIAL VALLEY OPTOMETRIC CORPORATION
Other Organization Name OPTOM-EYES VISION CARE
Practice Address 1503 N Imperial Ave
Suite 103
El Centro
CA 92243-6301
Mailing Address 525 W Main St
Suite 2
El Centro
CA 92243-7900
Practice Telephone 7603360010
Mailing Telephone 7603360010
Enumeration Date 2008-11-05
Last Update Date 2008-11-05
Authorized Official Name DR. MAY C. TAM (OPTOMETRIST/VICE-PRESIDENT)
Authorized Official Telephone 7603363003
Authorized Official Credential O.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist CA11960T CA Eye and Vision Services Providers
N 152W00000X Optometrist CA11368T CA Eye and Vision Services Providers
Y 152W00000X Optometrist CA11166T CA Eye and Vision Services Providers

Other Provider/Organization Names

Other Name Type Code
Optom-Eyes Vision Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1497032783 Imperial Valley Optometric Corporation Optometrist 700 Imperial Ave, El Centro, CA 92243-9140 2011-11-15
1780838649 Imperial Valley Optometric Corporation Optometrist 1113 Imperial Ave W, Suite 103, Calexico, CA 92231-4808 2008-11-05
1043588346 Imperial Valley Optometric Corporation Optometrist 5638 Mission Center Rd, Ste 103, San Diego, CA 92108-4348 2011-12-01

Office Location

Street Address 1503 N IMPERIAL AVE
SUITE 103
City EL CENTRO
State CA
Zip Code 92243-6301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689693962 Clara Padron-spence Family Medicine 1503 N Imperial Ave, 204, El Centro, CA 92243-6301 2006-07-18
1477092831 Mission Home Health of El Centro, Inc. Home Health 1503 N Imperial Ave, El Centro, CA 92243-6301 2017-02-18
1467860734 George Zamora Nurse Practitioner 1503 N Imperial Ave, Suite 203, El Centro, CA 92243-6301 2014-07-30
1316297294 Anz Clinics Inc Internal Medicine 1503 N Imperial Ave, Suite 204, El Centro, CA 92243-6301 2012-09-18
1821301086 Ameen Alshareef Pediatrics 1503 N Imperial Ave, Suite 204, El Centro, CA 92243-6301 2010-07-16
1093037608 Peter Dimanno Lcsw Apc Social Worker 1503 N Imperial Ave, 205, El Centro, CA 92243-6301 2010-02-23
1407001134 Roberto Abdelnur M.d., Inc. Internal Medicine 1503 N Imperial Ave, Suite 201, El Centro, CA 92243-6301 2008-11-21
1225227952 Stephen E. Gocke M.d. Inc. Obstetrics & Gynecology 1503 N Imperial Ave, Suite 203, El Centro, CA 92243-6301 2007-10-18
1760682793 Imperial Valley Podiatry Associates Inc Podiatrist 1503 N Imperial Ave, Suite 105, El Centro, CA 92243-6301 2007-07-18
1124157565 Peter Dimanno Social Worker 1503 N Imperial Ave, Suite 205, El Centro, CA 92243-6301 2007-03-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437756228 Kale Burket Physician Assistant Bldg 523, S 8th St, El Centro, CA 92243 2020-10-05
1346856671 Ana Lilia Solorio Health Educator 1415 Ross Ave., El Centro, CA 92243 2020-09-22
1467073775 Mabel Janet Castro-ley Counselor 22 N 8th St., El Centro, CA 92243 2020-04-28
1831723030 Guadalupe Heredia Registered Nurse 1415 Ross Ave El Centro Ca, El Centro, El Centro, CA 92243 2020-02-26
1851948061 Hamlet Khachatryan Dds, Inc. Dentist 1698 Cruickshank Drive, Suite B, El Centro, CA 92243 2019-08-22
1104478924 Courtney Barker Occupational Therapist 1161 Main St., El Centro, CA 92243 2019-07-11
1891350997 Amy Nguyen Dao Nurse Practitioner 852 Danenberg Drive, El Centro, CA 92243 2019-05-03
1538723622 Patrick H Dao Nurse Practitioner 852 Danenberg Dr., El Centro, CA 92243 2019-04-24
1114494861 Alba Care Mental Health Serrvices Counselor 1498 Main Street, El Centro, CA 92243 2018-10-31
1922503085 Joanne P. Goode Nurse Practitioner El Centro Health Clinic, 651 Wake Avenue, El Centro, CA 92243 2018-03-29
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497032783 Imperial Valley Optometric Corporation Optometrist 700 Imperial Ave, El Centro, CA 92243-9140 2011-11-15
1548255896 May C Tam Optometrist 3451 S Dogwood Ave, Ste. 1334, El Centro, CA 92243-7906 2005-09-13
1124012745 Christopher Michael Wright Optometrist 534 S 8th St, El Centro, CA 92243-3214 2005-09-09
1457357220 David Paul Espinosa Optometrist 828 N Imperial Ave, El Centro, CA 92243-1916 2005-06-24
1679966733 Retina Institute of California Medical Group Optometrist 1420 Ocotillo Dr, D, El Centro, CA 92243-4254 2015-03-13
1184017261 Trilogy Eye Medical Group, Inc. Optometrist 1420 Ocotillo Dr, Suite D, El Centro, CA 92243-4254 2015-03-12
1598076994 Lucia Elizabeth Millet Optometrist 3451 S Dogwood Ave, Ste. 1334, El Centro, CA 92243-7906 2010-06-30
1093038168 Christopher M Wright Od Optometrist 534 S 8th St, El Centro, CA 92243-3214 2010-03-03
1497997944 Dr. William F. Middleton, Jr., Inc Optometrist 496 W Main St, El Centro, CA 92243-3019 2009-03-30
1740476829 David P Espinosa Inc Optometrist 828 N Imperial Ave, El Centro, CA 92243-1916 2007-09-21
Find all providers in EL CENTRO

Competitor

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City EL CENTRO
Zip Code 92243

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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