Ikonic Vision Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

IKONIC VISION CARE, INC.

Practice address

855 E Birch St
Brea, CA 92821-5769

Phone

(714) 989-5019

Fax

(714) 255-2010

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Yanna Yu, OD

Title

Ceo

Phone

(714) 989-5019

Specialties & licenses 1

Addresses

Other names 1

• iKonic Vision Care, Inc. Doing business as

Practitioners 1

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

• Long Ngo, OD

  • Optometrist
  • Huntington Beach, CA
  • NPI 1568920296
  NPD (past)

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1467074989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 E BIRCH ST",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215769",
            "telephone_number": "714-989-5019",
            "fax_number": "714-255-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E BIRCH ST",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215769",
            "telephone_number": "714-989-5019",
            "fax_number": "714-255-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKONIC VISION CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "YANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-989-5019",
        "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": "iKonic Vision Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.