Crystal Fukumi Muraoka, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13267 Issued in CA

Practice address

2049 Brea Mall
Brea, CA 92821-5756

Phone

(714) 990-9311

NPI assigned

Jul 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• MNT Optometric, Inc.

  • Optometrist
  • Brea, CA
  • NPI 1104261957
  NPD (past) Authorized official

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316145055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 MODJESKA CIR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273909",
            "telephone_number": "714-478-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 BREA MALL",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215756",
            "telephone_number": "714-990-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURAOKA",
        "first_name": "CRYSTAL",
        "middle_name": "FUKUMI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Mu
• Muehlhoff Physical Therapy
• Cody Akira Mueller
• Hannah Munoz
• Grace Muraoka-Goo, OTR/L, CHT
• Tadashi Ron Murase, D.C.
• Mary C. Murdock, PA-C
• Analisa Murillo, PT, DPT
• Elaine Michelle Murphy, MS, LMFT
• Bruce Mutter, MD

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

• 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.

Verify at the official NPI Registry.