Pacific Partners Optometric Group Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PACIFIC PARTNERS OPTOMETRIC GROUP INC

Doing business as

Fiat Lux Optometry

Practice address

17451 Bastanchury Rd Ste 104C-1
Yorba Linda, CA 92886-1857

Phone

(714) 448-7166

Fax

(714) 992-8020

NPI assigned

Jan 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Alvin Arellano, ODNPI 1538155932

Title

Chief Executive Officer

Phone

(714) 448-7166

Specialties & licenses 1

Addresses

Other names 1

• Fiat Lux Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Alvin Arellano, O.D., Inc.

  • Corneal and Contact Management Optometrist
  • Fullerton, CA
  • NPI 1275653222

  Member Of

  NPD member

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alvin Arellano, O.D.

  • Optometrist
  • Fullerton, CA
  • NPI 1538155932
  Medicare reassignment Care Compare group Authorized official
• Harry Joel Charm, OD

  • Optometrist
  • Anaheim Hills, CA
  • NPI 1144215575
  Medicare reassignment Care Compare group NPD
• Jasper Cheng, OD

  • Optometrist
  • Irvine, CA
  • NPI 1457024721
  Medicare reassignment Care Compare group NPD
• Neda Nilieh, OD

  • Optometrist
  • Laguna Woods, CA
  • NPI 1790492379
  Medicare reassignment Care Compare group NPD
• Chris Hsieh, OD

  • Optometrist
  • Fullerton, CA
  • NPI 1114553518
  NPD (past)
• Cynthia Thu Nguyen, O.D,

  • Optometrist
  • Orange, CA
  • NPI 1942339569
  NPD (past)

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1437789294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17451 BASTANCHURY RD STE 104C-1",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861857",
            "telephone_number": "714-448-7166",
            "fax_number": "714-992-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17451 BASTANCHURY RD STE 104C-1",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861857",
            "telephone_number": "714-448-7166",
            "fax_number": "714-992-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PARTNERS OPTOMETRIC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "ARELLANO",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "714-448-7166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fiat Lux Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Dean Ortmayer, PT
• Krisztina Juhasz Osso, PT
• Ouch Enterprises
• Deanna Ozenbaugh, LMFT
• Amber Lynn Pachon, M.D.
• Nicolle Andreea Pacifico, PHD
• Alfonso Joshua Padilla
• Dariya Pak, FNP
• Erika Pallares
• Billie K Park, D.O.

• Optometrist in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.