Individual provider Active NPI

Natalie Chung Lavinder, OD

  • Optometrist
  • Rancho Santa Margarita, CA
National Provider Identifier
1396275756
Registry record updated Sep 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT33693-TLG Issued in CA
Practice address
30212 Tomas Ste 170
Rancho Santa Margarita, CA 92688
Phone
(949) 589-0900
Fax
(949) 589-0767
NPI assigned
Jun 18, 2017
Last updated
Sep 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT33693-TLG CA Primary

Addresses

Primary practice location

30212 Tomas Ste 170
Rancho Santa Margarita, CA 92688

Mailing address

30212 Tomas Ste 170
Rancho Santa Margarita, CA 92688-2174
Phone (949) 589-0900

Other practice location 1

333 Corporate Dr Ste 120
Ladera Ranch, CA 92694-2113
Phone (949) 218-2020

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170815004530 CA Practitioner - Optometry 0840562575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT33693-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven D Smith an Optometric Corporation Optometrist CurrentSince Apr 2, 2018 Accepting new patients
Total Vision PC Optometrist CurrentSince Aug 12, 2019 Accepting new patients
Seal Beach Eyes Optometry Inc Optometrist PastSince Mar 10, 2017 Accepting new patients
Neulieu Optometry a Professional Corporation Optometrist Past Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients

Locations

333 Corporate Dr
Ste 120
Ladera Ranch, CA 92694
Phone (949) 218-2020

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

30212 Tomas
Ste 170
Rcho Sta Marg, CA 92688
Phone (949) 589-0900

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

1190 Pacific Coast Hwy
Ste E
Seal Beach, CA 90740
Phone (562) 431-2031

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567382400000",
    "number": "1396275756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30212 TOMAS STE 170",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882174",
            "telephone_number": "949-589-0900",
            "fax_number": "949-589-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30212 TOMAS STE 170",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "92688",
            "telephone_number": "949-589-0900",
            "fax_number": "949-589-0767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Corporate Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Ladera Ranch",
            "state": "CA",
            "postal_code": "926942113",
            "country_code": "US",
            "telephone_number": "949-218-2020",
            "fax_number": "949-429-7727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVINDER",
        "first_name": "NATALIE",
        "middle_name": "CHUNG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2019-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33693-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

Verify at the official NPI Registry.