Active NPI
Justin Euperio
- Optometrist
- Rancho Santa Margarita, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35863
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35863 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michaels & Vu OD a Professional Corporation | Optometrist | Current | 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.
-
dba South County Eye Care Optometric Group
- Optometrist
- Lake Forest, CA
- NPI 1376748368
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.