Bryan Ma, O.D. Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13525T Issued in CA

Legal business name

BRYAN MA, O.D. OPTOMETRY, INC.

Practice address

2836 E Chapman Ave
Orange, CA 92869-3200

Phone

(714) 288-8855

Fax

(714) 288-8895

NPI assigned

May 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Dang Khoa Bryan Ma, O.D.NPI 1356505721

Title

Owner/Optometrist

Phone

(714) 757-2702

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dang Khoa Bryan Ma, O.D.

  • Optometrist
  • Orange, CA
  • NPI 1356505721
  Medicare reassignment NPD Authorized official
• Hiep Q Dinh, MD,DO ETC

  • Optician
  • Orange, CA
  • NPI 1417199183
  NPD (past)

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1093076705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693200",
            "telephone_number": "714-288-8855",
            "fax_number": "714-288-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693200",
            "telephone_number": "714-288-8855",
            "fax_number": "714-288-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN MA, O.D. OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "DANG KHOA",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "714-757-2702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13525T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Brugman
• Markesha Bruins
• Elizabeth Maria Bruner
• Bruno Dialysis LLC
• Myah Brunswick
• Theodore Cruz Bryan, M.D.
• Mitchell Deane Bryant
• Michael James Brydone-Jack, M.D.
• Vanessa R. Buchbinder
• Gregory Scott Buchert, M.D.

• Optometrist in Orange, CA
• Providers in Orange, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.