Active NPI
Bright View Optometry, Inc.
- Optometrist
- Santa Ana, CA
National Provider Identifier
1124534169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13825
- Legal business name
- BRIGHT VIEW OPTOMETRY, INC.
- Practice address
- 1002 N Fairview St
Santa Ana, CA 92703-1811 - Phone
- (714) 617-2296
- Fax
- (714) 689-6045
- NPI assigned
- Dec 28, 2017
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Nhu Q Ly, OD
- Title
- President
- Phone
- (714) 657-9996
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180323001014 | CA | Part B Supplier - Clinic/Group Practice | 4183986599 |
Receives reassigned benefits from 1 practitioner Practice locations: Santa Ana, CA |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13825 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1002 N Fairview St
Santa Ana, CA 92703-1811
Mailing address
8422 Carnegie Ave
Westminster, CA 92683-7604
Phone (714) 657-9996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2017.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514419200000",
"number": "1124534169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8422 CARNEGIE AVE",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926837604",
"telephone_number": "714-657-9996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 N FAIRVIEW ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927031811",
"telephone_number": "714-617-2296",
"fax_number": "714-689-6045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT VIEW OPTOMETRY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-28",
"last_updated": "2017-12-28",
"status": "A",
"authorized_official_last_name": "LY",
"authorized_official_first_name": "NHU",
"authorized_official_middle_name": "Q",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-657-9996",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "13825",
"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 Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.