Organization Active NPI

Bright View Optometry, Inc.

  • Optometrist
  • Santa Ana, CA
National Provider Identifier
1124534169
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13825 Issued in CA
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, ODNPI 1114252954
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 IDStateProvider typePAC IDDetails
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13825 CA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.