OPTICAL CENTER (NPI# 1952545824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952545824 |
| Entity Type | Organization |
| Organization Name | OPTICAL CENTER |
| Practice Address |
23640 N St Bldg 758 Riverside CA 92518-1893 |
| Mailing Address |
296 Grayson Hwy Lawrenceville GA 30045-5737 |
| Practice Telephone | 9516569204 |
| Mailing Telephone | 7708223600 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |
| Authorized Official Name | SUSAN EDICK (MC ASSISTANT) |
| Authorized Official Telephone | 6788923774 |
| Is Organization Subpart | Y |
| Parent Organization Name | NATIONAL VISION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407125123 | Optical Center | Technician/Technologist | 451 Broadway Street, Eielson Afb Aafes Exchange, Eielson, AK 99702 | 2011-12-27 |
| 1225307945 | Optical Center | Technician/Technologist | Ft. Wainwright Aafes Exchange, Bldg 3703, Oak St., Ft. Wainwright, AK 99703 | 2011-12-27 |
| 1518240662 | Optical Center | Technician/Technologist | 143 Replacement Ave Bldg 478, Fort Leonard Wood, MO 65473-9092 | 2011-09-26 |
| 1265759724 | Optical Center | Technician/Technologist | 7742 Colorado Ave Bldg 850, Fort Polk, LA 71459-5306 | 2010-04-23 |
| 1548585763 | Optical Center | Technician/Technologist | 506 Larcher Blvd Bldg 2306, Keesler Afb, MS 39534-2342 | 2010-03-30 |
| 1841512605 | Optical Center | Technician/Technologist | 300 A Ave Bldg 1605, Fort Lee, VA 23801-1520 | 2010-02-22 |
| 1710255989 | Optical Center | Technician/Technologist | 7071 N 138th Ave, Glendale, AZ 85307-2006 | 2011-12-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | OPTICAL CENTER OF BURLINGTON | 107 Church Street, Burlington, VT 05401 |
| Connecticut Business Registrations | OPTICAL CENTER, INC. | 255 West River St, Milford, CT 06460 |
| Street Address |
23640 N ST BLDG 758 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92518-1893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770617805 | Phuc Hong Quach | Optometrist | 23640 N St Bldg 758, Riverside, CA 92518-1893 | 2007-03-14 |
| 1386257251 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | 23640 N St Bldg 758, Riverside, CA 92518-1893 | 2020-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603301 | William Donald | Emergency Medical Technician, Paramedic | March Air Reserve Base, Moreno Valley, CA 92518 | 2020-06-10 |
| 1861011876 | Monika Ellyn Garcia | Student in an Organized Health Care Education/Training Program | 14350 Meridian Parkway Box #2, Riverside, CA 92518 | 2020-04-09 |
| 1558906164 | Jasmine Feely | Registered Nurse | 5770 Riverside Dr Bldg 601, 752 Medical Squadron, March Arb, CA 92518 | 2019-11-07 |
| 1952957375 | April Blum | Nurse Practitioner | 14200 Meridian Parkway, # 101, Riverside, CA 92518 | 2019-08-12 |
| 1902463094 | Dale Timothy Hoang | Student in an Organized Health Care Education/Training Program | 14350-2 Meridian Pkwy, Riverside, CA 92518 | 2019-05-23 |
| 1619534716 | Karen Stacy Clarey | Student in an Organized Health Care Education/Training Program | 14350-2 Meridian Parkway, Riverside, CA 92518 | 2019-05-23 |
| 1528548070 | Holly Stevenson | Registered Nurse | 5770 Riverside Dr., Bldg 601, 752d Medical Squadron, March Arb, CA 92518 | 2018-08-15 |
| 1275058026 | James Lee Mitchener IIi | Registered Nurse | 5770 Riverside Drive, Building 601, 752 Medical Squadron, March Arb, CA 92518 | 2017-08-12 |
| 1710400239 | Dominique B. Horne | Registered Nurse | 5770 Riverside Dr. Bldg 601, 752 Medical Squadron, March Arb, CA 92518 | 2017-07-18 |
| 1891150918 | Irene Peralta | Registered Nurse | 770 Riverside Dr., Bldg 601, March Arb, CA 92518 | 2015-12-16 |
| Find all providers in zip 92518 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023157146 | A Child's View, Inc. | Technician/Technologist | 10335 Magnolia Ave, Riverside, CA 92505-1809 | 2007-02-05 |
| 1518048651 | Walmart Stores, Inc. | Technician/Technologist | 2663 Canyon Springs Pkwy, Riverside, CA 92507-0911 | 2006-10-17 |
| 1043757123 | National Vision, Inc. | Technician/Technologist | 4030 Madison St, Riverside, CA 92504-2642 | 2017-01-26 |
| 1336220474 | Walmart Stores, Inc. | Technician/Technologist | 5200 Van Buren Blvd, Riverside, CA 92503-2544 | 2006-10-17 |
| 1235221284 | Sam's Club Optical | Technician/Technologist | 6363 Valley Springs Pkwy, Riverside, CA 92507-0905 | 2006-09-28 |
| 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 | ||||
Please comment or provide details below to improve the information on OPTICAL CENTER.
| 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.