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VISION CARE CENTER OF SOUTHEASTERN CA AN OPTOMETRIC CORP. NPI 1548465222


NPI Information

NPI: 1548465222
Provider Name: VISION CARE CENTER OF SOUTHEASTERN CA AN OPTOMETRIC CORP.

Former Legal Business Name: VISION CARE CENTER OF SOUTHEASTERN CA AN OPTOMETRIC CORP.

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
260 MAIN ST
BRAWLEY, CA
ZIP 92227
Phone: (760) 351-2020
Get Directions

VISION CARE CENTER OF SOUTHEASTERN CA AN OPTOMETRIC CORP. is an optometrist in Brawley, CA. The provider is 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. VISION CARE CENTER OF SOUTHEASTERN CA AN OPTOMETRIC CORP. NPI is 1548465222. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Vision Care Center Of Southeastern Ca An Optometric Corp..

The provider's business location address is:

260 MAIN ST
BRAWLEY, CA
ZIP 92227-351
Phone: (760) 351-2020
Fax: (760) 344-4552

The provider's authorized official is Donald Lee Barniske .
The authorized official title is Optometrist and has the following contact phone number (760) 351-2020.

The enumeration date for this NPI number is 6/20/2007 and was last updated on 2/11/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact Management005636CALIFORNIANo
2152WL0500XOptometristLow Vision Rehabilitation005636CALIFORNIANo
3152WP0200XOptometristPediatrics005636CALIFORNIANo
4152WV0400XOptometristVision Therapy005636CALIFORNIANo
5152WX0102XOptometristOccupational Vision005636CALIFORNIANo
6152W00000XOptometrist005636CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WY2550OTHERCALIFORNIAMEDICARE PROVIDER
21548465222MEDICAIDCALIFORNIA
31982760310OTHERCALIFORNIANPI
4T10062MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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