Organization Active NPI

Daniel E. Quon, O.D. Inc.

Doing business as South Coast Optometry

  • Optometrist
  • Costa Mesa, CA
National Provider Identifier
1417980186
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA 05749T Issued in CA
Legal business name
DANIEL E. QUON, O.D. INC.
Doing business as
South Coast Optometry
Practice address
949 S Coast Dr
Suite 155
Costa Mesa, CA 92626-7737
Phone
(714) 540-2020
Fax
(714) 540-5844
NPI assigned
Jul 8, 2006
Last updated
Dec 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Dr. Daniel Eugene Quon, O.D.NPI 1730346925
Title
Optometrist
Phone
(714) 540-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CA 05749T CA Primary

Addresses

Primary practice location

949 S Coast Dr
Suite 155
Costa Mesa, CA 92626-7737

Mailing address

949 South Coast Drive
Suite 155
Costa Mesa, CA 92626-7737
Phone (714) 540-2020

Other names 1

  • South Coast Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050620001167 CA Part B Supplier - Clinic/Group Practice 2769427806 Receives reassigned benefits from 3 practitioners
Practice locations: Costa Mesa, CA

National Provider Directory

National Provider Directory

Locations

3333 Bristol St
Ste 1872
Costa Mesa, CA 92626
Phone (714) 540-2020

949 S Coast Dr
Ste 155
Costa Mesa, CA 92626
Phone (714) 540-2020

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1417980186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 SOUTH COAST DRIVE",
            "address_2": "SUITE 155",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267737",
            "telephone_number": "714-540-2020",
            "fax_number": "714-540-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 S COAST DR",
            "address_2": "SUITE 155",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267737",
            "telephone_number": "714-540-2020",
            "fax_number": "714-540-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL E. QUON, O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "QUON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "714-540-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA 05749T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Coast Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.