Organization Active NPI

Laguna Heights Optometry Inc

  • Optometrist
  • Laguna Niguel, CA
National Provider Identifier
1033387121
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
08259T Issued in CA
Legal business name
LAGUNA HEIGHTS OPTOMETRY INC
Practice address
30231 Golden Lantern Ste B
Laguna Niguel, CA 92677-5989
Phone
(949) 495-9336
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eric J Kawata, ODNPI 1689708778
Title
Owner/Dr
Phone
(949) 495-9336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 08259T CA Primary

Addresses

Primary practice location

30231 Golden Lantern Ste B
Laguna Niguel, CA 92677-5989

Mailing address

30231 Golden Lantern Ste B
Laguna Niguel, CA 92677-5989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090122000287 CA Part B Supplier - Clinic/Group Practice 6305914516 Receives reassigned benefits from 1 practitioner
Practice locations: Laguna Niguel, CA

National Provider Directory

National Provider Directory

Locations

30231 Golden Lantern
Laguna Niguel, CA 92677
Phone (949) 495-9336

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1033387121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30231 GOLDEN LANTERN STE B",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30231 GOLDEN LANTERN STE B",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775989",
            "telephone_number": "949-495-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUNA HEIGHTS OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "KAWATA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DR",
        "authorized_official_telephone_number": "949-495-9336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "08259T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.