Beachside Optometry Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8977T Issued in CA

Legal business name

BEACHSIDE OPTOMETRY INC.

Practice address

10088 Adams Ave
Huntington Beach, CA 92646-4905

Phone

(714) 962-9377

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin John Germundsen, O.D.NPI 1780702258

Title

President

Phone

(714) 962-9377

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 8

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

• Kevin John Germundsen, O.D.

  • Optometrist
  • Huntington Beach, CA
  • NPI 1780702258
  Medicare reassignment NPD Authorized official
• Kristi Marie Germundsen, OD

  • Optometrist
  • Huntington Beach, CA
  • NPI 1578125316
  Medicare reassignment NPD
• Melissa Ann Germundsen, OD

  • Optometrist
  • Huntington Beach, CA
  • NPI 1043883655
  Medicare reassignment NPD
• Janay Emily Sekhon, O.D

  • Optometrist
  • Huntington Beach, CA
  • NPI 1912186826
  Medicare reassignment NPD
• Michelle Nguyen Kirk, O.D.

  • Optometrist
  • Huntington Beach, CA
  • NPI 1477818235
  Medicare reassignment
• M. Linda Arboleda, O.D.

  • Corneal and Contact Management Optometrist
  • Huntington Beach, CA
  • NPI 1073632741
  NPD (past)
• Walter Yim, O.D.

  • Optometrist
  • Huntington Beach, CA
  • NPI 1962531228
  NPD (past)
• Lauren B Foley, O.D.

  • Optometrist
  • Scottsdale, AZ
  • NPI 1720341795
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1508076233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10088 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926464905",
            "telephone_number": "714-962-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10088 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926464905",
            "telephone_number": "714-962-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHSIDE OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "GERMUNDSEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-962-9377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8977T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beach Professional Pharmacy, Inc.
• Beach Street Rehab
• Beach Surgery Center Inc.
• Beach Surgical Medical Center LLC
• Beachside Optometry Germundsen-Family Partnership
• Beachview Treatment, LLC
• Beachview Treatment, LLC
• Melanie C Bean, M.S.P.T., A.T.C.
• Beanca Chu, DDS, a Professional Corporation
• Heather Jane Beaton

• Optometrist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.