Individual provider Active NPI

Justin Euperio

  • Optometrist
  • Rancho Santa Margarita, CA
National Provider Identifier
1255150868
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35863 Issued in CA
Practice address
22751 El Prado Apt 5105
Rancho Santa Margarita, CA 92688-3831
Phone
(949) 547-1132
NPI assigned
Oct 9, 2024
Last updated
Oct 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35863 CA Primary

Addresses

Primary practice location

22751 El Prado Apt 5105
Rancho Santa Margarita, CA 92688-3831

Mailing address

22751 El Prado Apt 5105
Rancho Santa Margarita, CA 92688-3831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250123000639 CA Practitioner - Optometry 2264961036 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35863CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michaels & Vu OD a Professional Corporation Optometrist CurrentSince Dec 23, 2024 Accepting new patients

Locations

1400 W Imperial Hwy
Ste J
La Habra, CA 90631
Phone (949) 454-1064

23002 Lake Center Dr
Lake Forest, CA 92630
Phone (949) 454-1064

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1255150868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22751 EL PRADO APT 5105",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22751 EL PRADO APT 5105",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883831",
            "telephone_number": "949-547-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUPERIO",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

Verify at the official NPI Registry.