David B Ciminski, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8949T Issued in CA

Practice address

1110 E Chapman Ave
Suite 107
Orange, CA 92866-2139

Phone

(714) 532-4900

Fax

(714) 532-4994

NPI assigned

Oct 9, 2006

Last updated

Nov 5, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Families Together of Orange County

  • Clinic/Center
  • Tustin, CA
  • NPI 1194122457
  Medicare reassignment NPD
• David B. Ciminski, O.D.

  • Optometrist
  • Orange, CA
  • NPI 1316102387
  Authorized official Same address or phone
• Families Together of Orange County

  • Federally Qualified Health Center (FQHC)
  • Tustin, CA
  • NPI 1861253080
  NPD
• Families Together of Orange County

  • Federally Qualified Health Center (FQHC)
  • Tustin, CA
  • NPI 1114788239
  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1396832341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E CHAPMAN AVE",
            "address_2": "SUITE 107",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662139",
            "telephone_number": "714-532-4900",
            "fax_number": "714-532-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E CHAPMAN AVE",
            "address_2": "SUITE 107",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662139",
            "telephone_number": "714-532-4900",
            "fax_number": "714-532-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMINSKI",
        "first_name": "DAVID",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8949T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0089490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pierce Carter Ciccone
• Alexandra A Cielo Medina
• Cifuentes Medical Group
• Vanessa Cilia
• Agnes Cimino
• Danielle Cipollo, DC
• Kimberly Lynn Cira, AU.D.
• Catherine Cisneros
• Chris Cisneros
• Dustin Cisneros, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.