Organization Active NPI

Park Place Optometry

  • Preferred Provider Organization
  • Irvine, CA
National Provider Identifier
1184808057
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
PARK PLACE OPTOMETRY
Practice address
2963 Michelson Dr. #a
Irvine, CA 92612-0648
Phone
(949) 250-7071
Fax
(949) 250-7072
NPI assigned
Dec 27, 2007
Last updated
Dec 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Mr. Donny Nguyen
Title
Manager
Phone
(949) 250-7071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NU Primary

Addresses

Primary practice location

2963 Michelson Dr. #a
Irvine, CA 92612-0648

Mailing address

2963 Michelson Dr Ste a
Irvine, CA 92612-0648
Phone (949) 250-7071

National Provider Directory

National Provider Directory

Locations

2963 Michelson Dr
Ste A
Irvine, CA 92612
Phone (949) 250-7071

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1184808057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 MICHELSON DR STE A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926120648",
            "telephone_number": "949-250-7071",
            "fax_number": "949-250-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 MICHELSON DR. #A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926120648",
            "telephone_number": "949-250-7071",
            "fax_number": "949-250-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DONNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-250-7071",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.