Organization Active NPI

First Bristol Optometry

  • Exclusive Provider Organization
  • Santa Ana, CA
National Provider Identifier
1114160892
Registry record updated Apr 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
OPT 13598T Issued in CA
Legal business name
FIRST BRISTOL OPTOMETRY
Practice address
1601 W 1St St
Suite C
Santa Ana, CA 92703-3670
Phone
(714) 543-7072
Fax
(714) 543-7073
NPI assigned
Apr 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2009

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

Authorized official

Name
Mimi K Tran, O.D.NPI 1396988077
Title
Optometrist
Phone
(714) 889-0688

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
Exclusive Provider Organization 302F00000X OPT 13598T CA Primary

Addresses

Primary practice location

1601 W 1St St
Suite C
Santa Ana, CA 92703-3670

Mailing address

1601 W 1St St
Suite C
Santa Ana, CA 92703-3670
Phone (714) 543-7072

National Provider Directory

National Provider Directory

Locations

1601 W 1st St
Santa Ana, CA 92703
Phone (714) 543-7072

1601 W 1st St
Ste C
Santa Ana, CA 92703
Phone (714) 543-7072

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": "1239408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239408000000",
    "number": "1114160892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W 1ST ST",
            "address_2": "SUITE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033670",
            "telephone_number": "714-543-7072",
            "fax_number": "714-543-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W 1ST ST",
            "address_2": "SUITE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033670",
            "telephone_number": "714-543-7072",
            "fax_number": "714-543-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST BRISTOL OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-11",
        "last_updated": "2009-04-11",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "MIMI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "714-889-0688",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "OPT 13598T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 11, 2009; 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.