Steven Previsich a Professional Optometric Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

STEVEN PREVISICH A PROFESSIONAL OPTOMETRIC CORPORATION

Doing business as

Anaheim Optometry

Practice address

2137 E Lincoln Ave
Anaheim, CA 92806-4106

Phone

(251) 401-2096

Fax

(714) 999-1439

NPI assigned

Nov 30, 2023

Last updated

Sep 27, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

STEVEN PREVISICH A PROFESSIONAL OPTOMETRIC CORPORATIONAs reported in NPPES

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

Authorized official

Name

Dr. Bridgette Hill

Title

Biller

Phone

(251) 401-2096

Specialties & licenses 2

Addresses

Other names 1

• Anaheim Optometry Doing business as

Part of

Steven Previsich a Professional Optometric Corporation

Locations

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1518733567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 E LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064106",
            "telephone_number": "251-401-2096",
            "fax_number": "714-999-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 E LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064106",
            "telephone_number": "251-401-2096",
            "fax_number": "714-999-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN PREVISICH A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEVEN PREVISICH A PROFESSIONAL OPTOMETRIC CORPORATION",
        "enumeration_date": "2023-11-30",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "251-401-2096",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anaheim Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anaheim Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Abby Stewart

• Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.