Active NPI
Sharon Ann McCormack, O.D.
- Optometrist
- Irvine, CA
National Provider Identifier
1275684763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9661
- Practice address
- 13662A Jamboree Rd
The Market Place II
Irvine, CA 92602-1201 - Phone
- (714) 508-4970
- Fax
- (714) 508-4971
- NPI assigned
- Jan 13, 2007
- Sex
- Female
- 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 | 9661 | CA | Primary |
Addresses
Primary practice location
13662A Jamboree Rd
The Market Place II
Irvine, CA 92602-1201
Mailing address
26501 San Torini Rd
Mission Viejo, CA 92692-6103
Phone (949) 582-7871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275684763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26501 SAN TORINI RD",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926926103",
"telephone_number": "949-582-7871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13662A JAMBOREE RD",
"address_2": "THE MARKET PLACE II",
"city": "IRVINE",
"state": "CA",
"postal_code": "926021201",
"telephone_number": "714-508-4970",
"fax_number": "714-508-4971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMACK",
"first_name": "SHARON",
"middle_name": "ANN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9661",
"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 Jul 8, 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.