Organization Active NPI

MNT Optometric, Inc.

  • Optometrist
  • Brea, CA
National Provider Identifier
1104261957
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MNT OPTOMETRIC, INC.
Practice address
2049 Brea Mall
Brea, CA 92821-5756
Phone
(714) 990-9311
Fax
(714) 990-2633
NPI assigned
May 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Dr. Crystal Muraoka, ODNPI 1316145055
Title
Optometrist
Phone
(714) 478-0652

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

2049 Brea Mall
Brea, CA 92821-5756

Mailing address

2049 Brea Mall
Brea, CA 92821-5756
Phone (714) 990-9311

National Provider Directory

National Provider Directory

Locations

2049 Brea Mall
Brea, CA 92821
Phone (714) 990-9311

Practitioners & affiliated clinicians

Practitioners 1

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": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1104261957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2049 BREA MALL",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215756",
            "telephone_number": "714-990-9311",
            "fax_number": "714-990-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 BREA MALL",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215756",
            "telephone_number": "714-990-9311",
            "fax_number": "714-990-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MNT OPTOMETRIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "MURAOKA",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "714-478-0652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.