Organization Active NPI

Michaels and Vu Op Apc

  • Optometrist
  • Lake Forest, CA
National Provider Identifier
1265623987
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12615T Issued in CA
Legal business name
MICHAELS AND VU OP APC
Practice address
23002 Lake Center Dr
Lake Forest, CA 92630-6801
Phone
(949) 454-1064
Fax
(949) 454-4111
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. Justin Michaels, ODNPI 1174576904
Title
Owner
Phone
(949) 454-1064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12615T CA Primary

Addresses

Primary practice location

23002 Lake Center Dr
Lake Forest, CA 92630-6801

Mailing address

23002 Lake Center Dr
Lake Forest, CA 92630-6801
Phone (949) 454-1064

National Provider Directory

National Provider Directory
Tax ID family
Michaels and Vu Op Apc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1265623987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23002 LAKE CENTER DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306801",
            "telephone_number": "949-454-1064",
            "fax_number": "949-454-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23002 LAKE CENTER DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306801",
            "telephone_number": "949-454-1064",
            "fax_number": "949-454-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAELS AND VU OP APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-454-1064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12615T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.