Individual provider Active NPI

Laura Hui Ha

  • Optometrist
  • Mission Viejo, CA
National Provider Identifier
1083066567
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33460TLG Issued in CA
Practice address
30 The Shops at Mission Viejo
Mission Viejo, CA 92691-6527
Phone
(949) 364-4010
NPI assigned
Jul 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33460TLG CA Primary

Addresses

Primary practice location

30 The Shops at Mission Viejo
Mission Viejo, CA 92691-6527

Mailing address

228 Silk Tree
Irvine, CA 92606-4511

Other practice location 1

428 S Brea Blvd
Brea, CA 92821-5301
Phone (714) 529-2470

Other names 1

  • Laura Hui Other name

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
I20231103001010 CA Practitioner - Optometry 0840647475 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33460TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fourth Optometric Care of California Optometrist Current Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince Oct 23, 2023 Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince Oct 23, 2023 Accepting new patients
David G Kirschen OD PHD a Professional Optometric Corp Optometrist PastSince Feb 15, 2018 Accepting new patients

Locations

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

15068 Goldenwest St
Westminster, CA 92683
Phone (714) 898-5631

Organizations & group practices 4

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1083066567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 SILK TREE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926064511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 THE SHOPS AT MISSION VIEJO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916527",
            "telephone_number": "949-364-4010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428 S Brea Blvd",
            "address_purpose": "LOCATION",
            "city": "Brea",
            "state": "CA",
            "postal_code": "928215301",
            "country_code": "US",
            "telephone_number": "714-529-2470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUI HA",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33460TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "HUI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.