Mi Mi Optometric Center,Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

10348T Issued in CA

Legal business name

MI MI OPTOMETRIC CENTER,INC

Practice address

9636 Garden Grove Blvd
Suite #5
Garden Grove, CA 92844

Phone

(714) 537-1313

Fax

(714) 537-9180

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sheryn S Lee, O.D.NPI 1457442410

Title

Optometrist

Phone

(714) 537-1313

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mi Mi Optometric Center Inc

  • Optometrist
  • Garden Grove, CA
  • NPI 1518290303

  3375689490

  Same PAC ID

Tax ID family

Mi Mi Optometric Centerinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mi Mi Optometric Center Inc

  • Optometrist
  • Garden Grove, CA
  • NPI 1518290303
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheryn Sue Lee, OD

  • Optometrist
  • Garden Grove, CA
  • NPI 1457442410
  NPD Authorized official
• Douglas Kim, O.D.

  • Optometrist
  • Fountain, CO
  • NPI 1265510739
  NPD
• Edward Tran, OD

  • Optometrist
  • Orange, CA
  • NPI 1124558069
  NPD (past)
• Thuy N Nguyen, O.D.

  • Optometrist
  • Portland, OR
  • NPI 1255665972
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1134201650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9636 GARDEN GROVE BLVD",
            "address_2": "SUITE #5",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92844",
            "telephone_number": "714-537-1313",
            "fax_number": "714-537-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9636 GARDEN GROVE BLVD",
            "address_2": "SUITE #5",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92844",
            "telephone_number": "714-537-1313",
            "fax_number": "714-537-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI MI OPTOMETRIC CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHERYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "714-537-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10348T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0103480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Metz
• Andrea Meza Bermudez
• Adrian Louis Meza
• Anali Meza
• Mi Mi Optometric Center Inc
• Michael Dao Medical Center, Inc.
• Michael M Dao MD Inc
• Micro Medical Management
• Anna Mierzwa
• Anaiza Miguez

• Optometrist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.