Organization Active NPI

O.C. Optometric Group Inc.

  • Optometrist
  • Anaheim, CA
National Provider Identifier
1508919200
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9327T Issued in CA
Legal business name
O.C. OPTOMETRIC GROUP INC.
Practice address
10502 Katella Ave
Anaheim, CA 92804-6528
Phone
(714) 776-2020
Fax
(714) 776-1618
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Occhipinti, O.D.NPI 1235282922
Title
Ceo
Phone
(714) 776-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 9327T CA Primary

Addresses

Primary practice location

10502 Katella Ave
Anaheim, CA 92804-6528

Mailing address

10502 Katella Ave
Anaheim, CA 92804-6528
Phone (714) 776-2020

Other names 1

  • Orange County Optometric Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070625000689 CA Part B Supplier - Clinic/Group Practice 8022117555 Receives reassigned benefits from 3 practitioners
Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory

Locations

10502 Katella Ave
Anaheim, CA 92804
Phone (714) 776-2020

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508919200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10502 KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046528",
            "telephone_number": "714-776-2020",
            "fax_number": "714-776-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10502 KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046528",
            "telephone_number": "714-776-2020",
            "fax_number": "714-776-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O.C. OPTOMETRIC GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OCCHIPINTI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-776-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9327T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange County Optometric Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.