Individual provider Active NPI

Alison Noritake, O.D.

  • Optometrist
  • Fountain Valley, CA
National Provider Identifier
1508219320
Registry record updated Jul 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33535 Issued in CA
Practice address
10130 Warner Ave
Suite J
Fountain Valley, CA 92708-1619
Phone
(714) 965-5130
NPI assigned
Jul 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33535 CA Primary

Addresses

Primary practice location

10130 Warner Ave
Suite J
Fountain Valley, CA 92708-1619

Mailing address

2224 Midwick Dr
Altadena, CA 91001-2829
Phone (626) 354-9948

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
I20160913001000 CA Practitioner - Optometry 6305132663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nhat Le-Huynh OD a Professional CorporationGroup PAC ID 4385980218, 3 clinicians

Practice addresses (Care Compare)

10130 Warner Ave
Suite J
Fountain Valley, CA 92708-1619
Phone (714) 965-5130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nhat Le-Huynh, O.D., a Professional Corporation Optometrist CurrentSince Jan 1, 2019 Accepting new patients
Total Vision PC Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Mark a. Chung, O.D., a Professional Corporation Optometrist Past Accepting new patients

Locations

10130 Warner Ave
Ste J
Fountain Vly, CA 92708
Phone (714) 965-5130

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

1 W California Blvd
Ste 513
Pasadena, CA 91105
Phone (626) 382-2509

8205 Santa Monica Blvd
Ste 15
West Hollywood, CA 90046
Phone (323) 650-0337

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468627200000",
    "number": "1508219320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 MIDWICK DR",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012829",
            "telephone_number": "626-354-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 WARNER AVE",
            "address_2": "SUITE J",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081619",
            "telephone_number": "714-965-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORITAKE",
        "first_name": "ALISON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-16",
        "last_updated": "2016-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.