Individual provider Active NPI

George Choueiry, OD

  • Optometrist
  • Laguna Niguel, CA
National Provider Identifier
1073928008
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14972 Issued in CA
Practice address
30001 Crown Valley Pkwy Ste F
Laguna Niguel, CA 92677-1723
Phone
(949) 495-1610
Fax
(949) 495-3851
NPI assigned
Jun 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14972 CA Primary

Addresses

Primary practice location

30001 Crown Valley Pkwy Ste F
Laguna Niguel, CA 92677-1723

Mailing address

30001 Crown Valley Pkwy Ste F
Laguna Niguel, CA 92677-1723
Phone (949) 495-1610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160915002532 CA Practitioner - Optometry 7416243589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30001 Crown Valley Pkwy
Suite F
Laguna Niguel, CA 92677-1723
Phone (949) 495-1610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14972CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
George Choueiry, O.D., Optometric Corp. Optometrist CurrentSince Oct 5, 2016 Accepting new patients
James M. Kane, O.D., a,P.C. Optometrist PastSince Oct 11, 2016 Accepting new patients

Locations

30001 Crown Valley Pkwy
Ste F
Laguna Niguel, CA 92677
Phone (949) 495-1610

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1073928008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30001 CROWN VALLEY PKWY STE F",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771723",
            "telephone_number": "949-495-1610",
            "fax_number": "949-495-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30001 CROWN VALLEY PKWY STE F",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771723",
            "telephone_number": "949-495-1610",
            "fax_number": "949-495-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUEIRY",
        "first_name": "GEORGE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-28",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.