Active NPI
First Bristol Optometry
- Exclusive Provider Organization
- Santa Ana, CA
National Provider Identifier
1114160892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- OPT 13598T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mimi K Tran, O.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Optometrist
- Santa Ana, CA
- NPI 1396988077
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.