Starry Eyes Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

STARRY EYES OPTOMETRY, INC.

Practice address

1290 Hamner Ave
Norco, CA 92860-3117

Phone

(951) 268-3037

NPI assigned

May 6, 2020

Organization subpart

No

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

Authorized official

Name

Kaitlyn Nguyen Murch, OD

Title

Optometrist

Phone

(714) 331-8567

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1326669896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 HAMNER AVE",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603117",
            "telephone_number": "951-268-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 HAMNER AVE",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603117",
            "telephone_number": "951-268-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARRY EYES OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "MURCH",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_middle_name": "NGUYEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "714-331-8567",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346616760",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "address_1": "1290 Hamner Ave",
            "city": "Norco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928603117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "address_1": "1290 Hamner Ave",
            "city": "Norco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928603117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Malik Smith
• Sameh Nashat Soliman, DMD, MPH
• Adriana Castro Soriano, LCSW
• Southern California Emergency Medicine (Norco Urgent Care Center)
• Kerri Anne Staab, M.S., CCC-SLP
• Ireneusz Jerzy Stasiuk, MSW
• Michael J. Stefano, D.C.
• Irene Marie Stetkevich, M.A., CCC-SLP
• Linden Gary Stevens, D.D.S.
• Renanda Arcadia Stevenson, DNP, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.