Old Newport Optometric Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT9344TLG Issued in CA

Legal business name

OLD NEWPORT OPTOMETRIC ASSOCIATES

Practice address

522 Old Newport Blvd
Newport Beach, CA 92663-4212

Phone

(949) 650-9060

NPI assigned

Sep 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Derek Robert Rice, ODNPI 1952486417

Title

Ceo/President

Phone

(949) 650-9060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Scott Rossi, OD

  • Optometrist
  • Ontario, CA
  • NPI 1578543161
  Medicare reassignment Care Compare group NPD
• Jessa Marie Vankleeck, OD

  • Optometrist
  • Newport Beach, CA
  • NPI 1255991840
  Medicare reassignment Care Compare group NPD
• Derek Robert Rice, O.D.

  • Optometrist
  • Whittier, CA
  • NPI 1952486417
  NPD Authorized official
• Larisa A Canter, M.D.

  • Ophthalmology Physician
  • Newport Beach, CA
  • NPI 1265506067
  NPD (past)

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326557109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634212",
            "telephone_number": "949-650-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634212",
            "telephone_number": "949-650-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD NEWPORT OPTOMETRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "949-650-9060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9344TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Ojeda
• Savannah Ok
• Kristin Lynne Oka
• Nalanie Helene Okuma
• Haris Oladejo
• Julie Hart Oldroyd, M.D.
• Antonio de Jesus Olea Alberto
• Jason Todd Olin, PHD
• Olivia Carr Family Therapy Professional Corporation (Therapy With Olivia)
• Olivieri Chiropractic Inc.

• Optometrist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.