Mission Optometric Center

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MISSION OPTOMETRIC CENTER

Practice address

31401 Rancho Viejo Rd Ste 103
San Juan Capistrano, CA 92675-1850

Phone

(949) 496-0552

Fax

(949) 443-3794

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Keith Kikumoto, O.D.

Title

Owner

Phone

(949) 496-0552

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1083807010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31401 RANCHO VIEJO RD STE 103",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751850",
            "telephone_number": "949-496-0552",
            "fax_number": "949-443-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31401 RANCHO VIEJO RD STE 103",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751850",
            "telephone_number": "949-496-0552",
            "fax_number": "949-443-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION OPTOMETRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "KIKUMOTO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-496-0552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rami Mikha, DDS
• Milestone Detox, LLC
• Milestone Healthcare LLC
• Madison Miranda
• Tannia Miranda
• Mission Viejo Counseling Inc
• Mitochondrial Medicine, Inc.
• Morgan Miyazono
• Mobilitywerks, Inc.
• Neda Moeini, ND

• Optometrist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.