Element79 Solutions Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ELEMENT79 SOLUTIONS INC

Practice address

2795 W Lincoln Ave Ste L
Anaheim, CA 92801-6334

Phone

(714) 527-5060

Fax

(714) 527-5073

NPI assigned

Jan 31, 2024

Organization subpart

No

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

Authorized official

Name

Eugene Chongkon KimNPI 1083813315

Title

Owner

Phone

(909) 270-7548

Specialties & licenses 1

Addresses

Other names 1

• Zone 2 Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Eugene Chongkon Kim, O.D.

  • Optometrist
  • Anaheim, CA
  • NPI 1083813315
  Medicare reassignment NPD Authorized official
• Milton M Nakano, OD

  • Optometrist
  • Anaheim, CA
  • NPI 1316938780
  NPD (past)

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1184487340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 W LINCOLN AVE STE L",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016334",
            "telephone_number": "714-527-5060",
            "fax_number": "714-527-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 W LINCOLN AVE STE L",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016334",
            "telephone_number": "714-527-5060",
            "fax_number": "714-527-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENT79 SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "CHONGKON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-270-7548"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zone 2 Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vikram Ramesh Elaiyavalli
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• Juliana Elias
• Natalie Sarai Elisarraraz
• Elite Diagnostic, LLC
• Elite Medtrans LLC
• Elite Primary Physicians 2 Inc

• Optometrist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.