Individual provider Active NPI

Gary Michael Lovcik, O.D.

  • Optometrist
  • Anaheim Hills, CA
National Provider Identifier
1427028562
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 8273 TPL Issued in CA
Practice address
5701 E Santa Ana Canyon Rd
Suite H
Anaheim Hills, CA 92807-3231
Phone
(714) 637-1640
Fax
(714) 998-8781
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 8273 TPL CA Primary

Addresses

Primary practice location

5701 E Santa Ana Canyon Rd
Suite H
Anaheim Hills, CA 92807-3231

Mailing address

5701 E Santa Ana Canyon Rd
Anaheim Hills, CA 92807-3231
Phone (714) 637-1640

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
I20120302000376 CA Practitioner - Optometry 4082873542 Practice locations: Anaheim, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5701 E Santa Ana Canyon Rd
Suite H
Anaheim, CA 92807-3231
Phone (714) 637-1640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 8273 TPLCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1427028562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 E SANTA ANA CANYON RD",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "928073231",
            "telephone_number": "714-637-1640",
            "fax_number": "714-998-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 E SANTA ANA CANYON RD",
            "address_2": "SUITE H",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "928073231",
            "telephone_number": "714-637-1640",
            "fax_number": "714-998-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVCIK",
        "first_name": "GARY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 8273 TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim Hills, CA

Sources for this page

Verify at the official NPI Registry.