EYE-Q VISION CARE (VISION CARE CENTER, A MEDICAL GROUP, INC) NPI 1235493925

Ophthalmology in Selma, CA

NPI 1235493925 Organization Ophthalmology Medicare Supplier Accepts Medicare Approved Payment CLIA Number 05D2071340 CLIA Certificate of Waiver

About EYE-Q VISION CARE (VISION CARE CENTER, A MEDICAL GROUP, INC)

Eye-q Vision Care (vision Care Center, A Medical Group, Inc) is a provider established in Selma, California specializing in ophthalmology. The NPI number of Eye-q Vision Care (vision Care Center, A Medical Group, Inc) is 1235493925 and was assigned on June 2012. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Eye-q Vision Care (vision Care Center, A Medical Group, Inc) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Eye-q Vision Care. The authorized official of this NPI record is Dr. Richard Lee Moors M.d. (Medical Director)

Eye-q Vision Care is a medicare supplier with PTAN 0514720002 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.

The CLIA number of Eye-q Vision Care is 05D2071340 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Eye-q Vision Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1235493925

Provider NameEYE-Q VISION CARE (VISION CARE CENTER, A MEDICAL GROUP, INC)
Provider Location Address2719 CINEMA WAY SELMA, CA 93662
Provider Mailing Address7075 N SHARON AVE FRESNO, CA 93720
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameEYE-Q VISION CARE
Other Name TypeDoing Business As (3)
Enumeration Date06-27-2012
Last Update Date06-27-2012


Primary Taxonomy

Taxonomy Code207W00000X
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Business Address

EYE-Q VISION CARE
2719 CINEMA WAY
SELMA, CA
ZIP 93662
Phone: (559) 486-2000

Get Directions


Mailing Address

EYE-Q VISION CARE
7075 N SHARON AVE
FRESNO, CA
ZIP 93720
Phone: (559) 486-2000



Authorized Official

Authorized Official NameDR. RICHARD LEE MOORS M.D.
Authorized Official TitleMEDICAL DIRECTOR
Authorized Official Phone(559) 486-2000

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN0514720002
Accepts Medicare AssignmentYES
Specialities ListOptician, Optometrist.
Supplies List
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
Competitive BiddingNO

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1235493925 is:

CLIA Number05D2071340
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1152W00000XEye and Vision Services ProvidersOptometristNo

Taxonomy Description: 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.

2332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
GSD001071MEDICAID (05)CA
ZZZ51516ZMEDICARE PIN (08)CA
GR0012091MEDICAID (05)CA
ZZZ51518ZMEDICARE PIN (08)CA

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.