Villa Optometric Group
Clinic/Center, Health Services in Walnut Creek, CA. Organization (NPI-2).
NPI number1336727486
StatusActive
Last updated in NPPESMar 31, 2021
Details
- NPI
- 1336727486
- Entity type
- Organization (NPI-2)
- Legal business name
- Villa Optometric Group
- Organization subpart
- No
- Enumeration date
- Mar 31, 2021
- Certification date
- Mar 31, 2021
- Last updated
- Mar 31, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
Practice location
1613 Locust StWalnut Creek, CA 94596-4118
Phone 925-932-4362
Mailing address
2746 Bal Harbor LnHayward, CA 94545-3404
Phone 510-754-5438
Authorized official
Sharon Villa
Optometrist
5107545438
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