Organization Active NPI

Pacific Optometric Group

  • Optometrist
  • Irvine, CA
National Provider Identifier
1093529158
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PACIFIC OPTOMETRIC GROUP
Practice address
4255 Campus Dr Ste A110
Irvine, CA 92612-8627
Phone
(949) 854-7122
NPI assigned
Feb 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Hawaa Ali, O.D.NPI 1194955849
Title
President
Phone
(562) 276-8080

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4255 Campus Dr Ste A110
Irvine, CA 92612-8627

Mailing address

1000 Bristol St N Ste 29
Newport Beach, CA 92660-8917
Phone (949) 476-2870

National Provider Directory

National Provider Directory

Locations

4255 Campus Dr
Ste A110
Irvine, CA 92612
Phone (949) 854-7122

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1093529158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BRISTOL ST N STE 29",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608917",
            "telephone_number": "949-476-2870",
            "fax_number": "949-476-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 CAMPUS DR STE A110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926128627",
            "telephone_number": "949-854-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC OPTOMETRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "HAWAA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-276-8080",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.