Organization Active NPI

Santa Ana Eyecare Optometry

Doing business as Santa Ana Eyecare

  • Optometrist
  • Santa Ana, CA
National Provider Identifier
1114061603
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5836TPL Issued in CA
Legal business name
SANTA ANA EYECARE OPTOMETRY
Doing business as
Santa Ana Eyecare
Practice address
1023 N Bristol St
Santa Ana, CA 92703-2139
Phone
(714) 569-1023
Fax
(714) 569-1068
NPI assigned
Feb 16, 2007
Last updated
Nov 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Dr. James Steven Cohen, O.D.
Title
Owner
Phone
(714) 569-1023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT5836TPL CA Primary

Addresses

Primary practice location

1023 N Bristol St
Santa Ana, CA 92703-2139

Mailing address

1023 N Bristol St
Santa Ana, CA 92703-2139
Phone (714) 569-1023

Other identifiers 1

IdentifierTypeStateIssuer
SD0058361MedicaidCA

Other names 1

  • Santa Ana Eyecare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1114061603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 N BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927032139",
            "telephone_number": "714-569-1023",
            "fax_number": "714-569-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 N BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927032139",
            "telephone_number": "714-569-1023",
            "fax_number": "714-569-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ANA EYECARE OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-569-1023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT5836TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0058361",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Ana Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.