Organization Active NPI

Paje Optometric a Professional Corporation

  • Optometrist
  • Santa Ana, CA
National Provider Identifier
1073617338
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
COR966 Issued in CA
Legal business name
PAJE OPTOMETRIC A PROFESSIONAL CORPORATION
Practice address
2414 S Fairview St
#103
Santa Ana, CA 92704-5318
Phone
(714) 557-9492
Fax
(714) 557-2548
NPI assigned
Sep 8, 2006
Last updated
Aug 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Dr. Michael H Fimreite, ODNPI 1871944025
Title
President/ Optometrist
Phone
(714) 557-9492

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
Optometrist 152W00000X COR966 CA Primary

Addresses

Primary practice location

2414 S Fairview St
#103
Santa Ana, CA 92704-5318

Mailing address

2414 S Fairview St
#103
Santa Ana, CA 92704-5318
Phone (714) 557-9492

Other identifiers 6

IdentifierTypeStateIssuer
BS942AOtherCAMEDICARE PTAN
BS942BOtherCAMEDICARE PTAN
GSD004350MedicaidCA
BS942COtherCAMEDICARE PTAN
W16179OtherCAMEDICARE PTAN
W16179AOtherCAMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050720001121 CA Part B Supplier - Clinic/Group Practice 7618904665 Receives reassigned benefits from 10 practitioners

National Provider Directory

National Provider Directory

Locations

8520 Western Ave
Buena Park, CA 90620
Phone (714) 776-8273

11270 Verbena Dr
Desert Hot Springs, CA 92240
Phone (760) 251-5022

66811 4th St
Desert Hot Springs, CA 92240
Phone (760) 251-7792

66897 Cahuilla Ave
Desert Hot Springs, CA 92240
Phone (760) 329-2740

201 N Fig St
Escondido, CA 92025
Phone (760) 746-0303

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

201 E Bastanchury Rd
Fullerton, CA 92835
Phone (714) 870-0060

18811 Florida St
Huntington Beach, CA 92648
Phone (714) 847-3515

6889 Sunny Vista Rd
#A
Joshua Tree, CA 92252
Phone (760) 366-3665

2615 Grand Ave
Long Beach, CA 90815
Phone (562) 283-0502

3902 Katella Ave
Los Alamitos, CA 90720
Phone (562) 596-5561

23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940

2414 S Fairview St
Ste 103
Santa Ana, CA 92704
Phone (714) 557-9442

30400 Desert Palm Dr
Thousand Palms, CA 92276
Phone (760) 343-1682

4315 Torrance Blvd
Torrance, CA 90503
Phone (310) 370-4561

Practitioners & affiliated clinicians

Practitioners 12

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": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1073617338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 S FAIRVIEW ST",
            "address_2": "#103",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045318",
            "telephone_number": "714-557-9492",
            "fax_number": "714-557-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 S FAIRVIEW ST",
            "address_2": "#103",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045318",
            "telephone_number": "714-557-9492",
            "fax_number": "714-557-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAJE OPTOMETRIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "FIMREITE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/ OPTOMETRIST",
        "authorized_official_telephone_number": "714-557-9492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "COR966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BS942A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BS942B",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD004350",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BS942C",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W16179",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W16179A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.