VALLEY OPTOMETRY EYECARE CENTER, INC.


Address: 19636 Sherman Way, Reseda, CA 91335
Phone: 8187742020

VALLEY OPTOMETRY EYECARE CENTER, INC. (NPI# 1649400920) 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) 1649400920
Entity Type Organization
Organization Name VALLEY OPTOMETRY EYECARE CENTER, INC.
Other Organization Name VALLEY OPTOMETRY EYECARE
Practice Address 19636 Sherman Way
Reseda
CA 91335
Practice Telephone 8187742020
Practice Fax Number 8187742021
Mailing Telephone 8187742020
Mailing Fax Number 8187742021
Enumeration Date 2009-07-21
Last Update Date 2010-10-05
Authorized Official Name DR. ANDY KONGSAKUL (DIRECTOR)
Authorized Official Telephone 8187742020
Authorized Official Credential OD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist OPT 13639T CA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 1649400920 05

Other Provider/Organization Names

Other Name Type Code
Valley Optometry Eyecare Doing Business As Name - Organization

Office Location

Street Address 19636 SHERMAN WAY
City RESEDA
State CA
Zip Code 91335

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497949267 Andy Keith Kongsakul Optometrist 19636 Sherman Way, Reseda, CA 91335-3647 2007-09-04
1093154932 Negin Nikahd Optometrist 19636 Sherman Way, Reseda, CA 91335-3647 2013-06-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356968754 Thomas Allen Hambright Massage Therapist 7510 Corbin Avenue, Unit #8, Reseda, CA 91335 2020-07-01
1558912014 Harriet Ann Bickel Technician 18006 Hatton St., Reseda, CA 91335 2019-09-26
1528627106 Topanga Hospice Care, Inc. Hospice Care, Community Based 5311 Topanga Canyon Blvd., Suite 302, Reseda, CA 91335 2019-06-07
1881174043 Aludra Inc. Hospice Care, Community Based 18325 Sherman Way, Suite A, Reseda, CA 91335 2018-08-17
1417437658 Buonora Development, Inc Physical Therapist 19325 Sherman Way, Reseda, CA 91335 2018-08-16
1770073793 Deanna Marie Niekamp Counselor 7232 Canby Ave. #4,5,6, Reseda, CA 91335 2018-05-15
1013423383 Bassa Logistic Inc Non-emergency Medical Transport (VAN) 19537 Valerio Street, Reseda, CA 91335 2017-12-21
1093237919 Belinda Reser Counselor 7101 Baird St, Reseda, CA 91335 2017-07-12
1720500028 Hermine Karapetyan Hearing Instrument Specialist 19367 Victory Blvd., Suite 14, Reseda, CA 91335 2017-07-09
1902352461 Baird Group Home Residential Treatment Facility, Emotionally Disturbed Children 7701 Baird Avenue, Reseda, CA 91335 2016-08-25
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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
1609007830 Laura K Ha Optometrist 7217 Reseda Blvd, Reseda, CA 91335-3046 2009-08-05
1851532147 Hooria Bahram Optometrist 18353 Vanowen St., Suite K, Reseda, CA 91335-5498 2009-03-16
1497949267 Andy Keith Kongsakul Optometrist 19636 Sherman Way, Reseda, CA 91335-3647 2007-09-04
1437249380 Marshall Field Optometrist 18429 Sherman Way, Reseda, CA 91335-4217 2006-10-13
1730292541 Advanced Retina Associates Medical Group, Inc Optometrist 17750 Sherman Way, Suite 100, Reseda, CA 91335 2006-08-16
1124501622 Sarah Spahi Optometrist 7217 Reseda Blvd, Reseda, CA 91335-3046 2018-09-11
1093154932 Negin Nikahd Optometrist 19636 Sherman Way, Reseda, CA 91335-3647 2013-06-24
1720333693 Catherine Kim Optometrist 7217 Reseda Blvd, Reseda, CA 91335-3046 2012-07-17
1952383507 Elizabeth Camara Optometrist 18855 Victory Blvd, Reseda, CA 91335-6445 2005-11-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770183428 Ashley Park Optometrist 386 S Green Valley Rd Ste 2, Watsonville, CA 95076-3007 2020-10-30
1053911842 Michael Guerret Optometrist 4130 N Viking Way # 110, Long Beach, CA 90808-1402 2020-10-29
1912506155 Minati Desai Acharya, O.d., Optometric Corporation Optometrist 117 Pelton Center Way, San Leandro, CA 94577-4815 2020-10-20
1740888627 Jennifer Ngo Optometrist 3217 W 153rd St, Gardena, CA 90249-4011 2020-10-13
1649878521 Jennie Lin Optometrist 12914 Cranleigh St, Cerritos, CA 90703-7245 2020-10-13
1962009464 Jyoti Patel Optometrist 1701 Gaffey St., San Pedro, CA 90731 2020-10-07
1114524196 Kenneth E. Sweeney, O.d., Inc. Optometrist 825 Pollard Rd Ste 208, Los Gatos, CA 95032-1435 2020-10-03
1316544364 Chelsey Kimiko Honma Optometrist 3151 Airway Ave Ste M3, Costa Mesa, CA 92626-4626 2020-10-02
1437766920 Mary Mekhael Optometrist 5901 Center Dr Apt 456, Los Angeles, CA 90045-8969 2020-09-28
1013524677 Jennifer Dang, O.d., A Professional Corporation Optometrist 301 S Western Ave Ste 103, Los Angeles, CA 90020-3816 2020-09-28
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Competitor

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City RESEDA
Zip Code 91335

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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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