Traci Lynne Paul, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9695T Issued in CA

Practice address

30030 Town Center Dr
Laguna Niguel, CA 92677-2096

Phone

(949) 495-3031

NPI assigned

Sep 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: traci.paul.p1@direct.tayani.nextgenshare.com

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.

• Third Optometric Care of California

  • Optometrist
  • Rancho Cordova, CA
  • NPI 1013516103
  NPD
• Third Optometric Care of California

  dba Auburn Family Optometry Inc

  • Optometrist
  • Auburn, CA
  • NPI 1093488850
  NPD
• Third Optometric Care of California PC

  dba Antelope Mall Vision Center Optometry

  • Optometrist
  • Palmdale, CA
  • NPI 1215824768
  NPD
• Griffinted P D D Inc

  • Optometrist
  • San Clemente, CA
  • NPI 1285820696
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336248954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30030 TOWN CENTER DR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772096",
            "telephone_number": "949-495-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30030 TOWN CENTER DR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772096",
            "telephone_number": "949-495-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "TRACI",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9695T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mira N Pathak
• Harriet A Patick, MFT
• Debbie R Patterson, CCC-SLP
• Paul D. Corona, M.D., Inc. (South County Family Medical Group)
• Paul M. Fick, PH.D. (South County Psychotherapy)
• Susan Pazak, PHD
• Peaceful Days Hospice, Inc. (Amedisys Hospice)
• Kathryn A. Pearson
• Pediatric Neurology of Orange County, PC
• Morgan Peikar

• Optometrist in Laguna Niguel, CA
• Providers in Laguna Niguel, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.