IC 20/20 VISION INC. (NPI# 1659915353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659915353 |
| Entity Type | Organization |
| Organization Name | IC 20/20 VISION INC. |
| Practice Address |
8350 On The Mall # 250u Buena Park CA 90620-3216 |
| Practice Telephone | 7148788824 |
| Mailing Telephone | 7148788824 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Authorized Official Name | STEFANIE SHIFFERD (PRESIDENT) |
| Authorized Official Telephone | 7148788824 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
8350 ON THE MALL # 250U |
| City | BUENA PARK |
| State | CA |
| Zip Code | 90620-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889110 | Soon Ae Yoon | Acupuncturist | 8600 Beach Blvd. #104, Buena Park, CA 90620 | 2019-12-27 |
| 1649755380 | Rosemary Lynn Nielsen | Social Worker | 1850 Knott Ave, Buena Park, CA 90620 | 2018-09-28 |
| 1730608118 | Arpita Bhavsar | Pharmacist | 7072 Santa Marta Circle, Buena Park, CA 90620 | 2017-09-16 |
| 1740715663 | Gabriela Peinado | Assistant Behavior Analyst | 8669 Holder St, Buena Park, CA 90620 | 2017-04-28 |
| 1679958862 | Aum Pharmacy Corporation | Pharmacy | 6970 Aragon Circle, # 3, Buena Park, CA 90620 | 2015-07-29 |
| 1457600330 | Daniel D. Chung Dds Inc | Dentist | 8884 Knott Ave., Buena Park, CA 90620 | 2012-09-06 |
| 1942531447 | Baltazar Mendoza | Dental Assistant | 7691 El Chaco Drive, Buena Park, CA 90620 | 2010-01-22 |
| 1760509947 | Marcela Torralba Espiritu | Dentist | 7540 Orangethorpe Ave, C4, Buena Park, CA 90620 | 2007-03-23 |
| 1508924457 | Randall Tay Kanemaki | Dentist | 8751 Valley View Street, Suite B, Buena Park, CA 90620 | 2006-12-04 |
| 1346338282 | J and P Homes Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6891 San Pedro Circle, Buena Park, CA 90620 | 2006-10-10 |
| Find all providers in zip 90620 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679659874 | Wal-mart Stores, Inc. | Technician/Technologist | 8450 La Palma Ave, Buena Park, CA 90620-3210 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374744 | John Dibos | Technician/Technologist | 343 W Felicita Ave Ste 10, Escondido, CA 92025-6515 | 2020-10-20 |
| 1720686140 | Lens 4 Less Optical, Inc. | Technician/Technologist | 343 W Felicita Ave # 10, Escondido, CA 92025-6515 | 2020-10-16 |
| 1023620648 | Blanca Estela Maldonado | Technician/Technologist | 671 E Cooley Dr Ste 102, Colton, CA 92324-4014 | 2020-08-17 |
| 1619598406 | Heather Siu Shum | Technician/Technologist | 200 E Garvey Ave Ste 109, Monterey Park, CA 91755-1859 | 2020-05-03 |
| 1932738481 | Enrique Metta Fallena | Technician/Technologist | 651 Palomar St Ste A17, Chula Vista, CA 91911-2663 | 2020-04-06 |
| 1629603659 | Linh Lai | Technician/Technologist | 1111 Story Rd Ste 1079, San Jose, CA 95122-2670 | 2020-03-10 |
| 1548895998 | Randy Liu | Technician/Technologist | 1049 Capen Ave, Walnut, CA 91789-3912 | 2020-03-05 |
| 1780214403 | Gary Alan Bates | Technician/Technologist | 2540 Zanella Way Ste 10, Chico, CA 95928-7194 | 2020-01-22 |
| 1336787696 | Michael Yoshio Sujishi | Technician/Technologist | 150 West Carson Street, Store 8839, Carson, CA 90745 | 2019-12-18 |
| 1609413665 | Yan Zlatin | Technician/Technologist | 21001 Sherman Way # 14a, Canoga Park, CA 91303-1760 | 2019-12-09 |
| Find all providers with the same taxonomy | ||||
| City | BUENA PARK |
| Zip Code | 90620 |
Please comment or provide details below to improve the information on IC 20/20 VISION INC..
| 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.