Karen Toki Wakayama, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

8038T Issued in CA

Practice address

17300 17TH St Ste M
Tustin, CA 92780-1955

Phone

(714) 838-9664

Fax

(714) 838-6774

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Karen K. Toki Professional name

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

Specialty

Optometry

Education

Southern California College of Optometry, 1984

Medicare assignment

May accept Medicare assignment

Group practices

Michaels and Vu OD a Professional CorporationGroup PAC ID 8527157437, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Michaels & Vu OD a Professional Corporation

  dba South County Eye Care Optometric Group

  • Optometrist
  • Lake Forest, CA
  • NPI 1376748368
  Medicare reassignment Care Compare group NPD
• Southern California Eye Consultants Inc.

  • Ophthalmology Physician
  • Orange, CA
  • NPI 1225467038
  Medicare reassignment

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1295775047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 17TH ST STE M",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801955",
            "telephone_number": "714-838-9664",
            "fax_number": "714-838-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 17TH ST STE M",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801955",
            "telephone_number": "714-838-9664",
            "fax_number": "714-838-6774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23002 Lake Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "CA",
            "postal_code": "926306801",
            "country_code": "US",
            "telephone_number": "949-454-1064",
            "fax_number": "949-454-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAKAYAMA",
        "first_name": "KAREN",
        "middle_name": "TOKI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8038T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "TOKI",
            "middle_name": "K.",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• W. Robert Crumpton, M.D.
• W. Saraiva DDS, Inc. (Tustin Blue Dental Group)
• Carrie Wada, MA, CCC-SLP
• Mark Robert Wade, M.D.
• Nancy Ann Wahidi, PA
• Walgreen Co (Walgreens #07286)
• Leiza Yamila Walia, D.M.D.
• Chris Walker, B.A.
• Dixie Shannon Wall
• Jennifer Eileen Walsvick, LCSW

• Optometrist in Tustin, CA
• Providers in Tustin, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.