NPIMap

Organization Active NPI

Paul Blaze OD

Doing business as Coast Optometric Center

  • Optometrist
  • Huntington Beach, CA
National Provider Identifier
1184985558
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PAUL BLAZE OD
Doing business as
Coast Optometric Center
Practice address
5092 Warner Ave
Huntington Beach, CA 92649-4030
Phone
(714) 846-2897
Fax
(714) 846-5778
NPI assigned
Jun 1, 2012
Last updated
Oct 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Dr. Paul A Blaze, O.D.NPI 1376503482
Title
Owner
Phone
(714) 292-7636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

5092 Warner Ave
Huntington Beach, CA 92649-4030

Mailing address

5092 Warner Ave
Huntington Beach, CA 92649-4030
Phone (714) 846-2897

Other names 1

  • COAST OPTOMETRIC CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1184985558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5092 WARNER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494030",
            "telephone_number": "714-846-2897",
            "fax_number": "714-846-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5092 WARNER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494030",
            "telephone_number": "714-846-2897",
            "fax_number": "714-846-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL BLAZE OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "BLAZE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-292-7636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COAST OPTOMETRIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.