Provider Demographics
NPI:1902212772
Name:VISTA POINT EYE CARE
Entity Type:Organization
Organization Name:VISTA POINT EYE CARE
Other - Org Name:VISTA POINT EYE CARE, OPTOMETRIC CORPORATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:916-797-3937
Mailing Address - Street 1:1221 PLEASANT GROVE BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-7215
Mailing Address - Country:US
Mailing Address - Phone:916-797-3937
Mailing Address - Fax:916-797-3944
Practice Address - Street 1:1821 DOUGLAS BLVD
Practice Address - Street 2:SUITE C-4
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-2910
Practice Address - Country:US
Practice Address - Phone:916-797-3937
Practice Address - Fax:916-797-3944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-01
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11858152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty