Organization Active NPI

Fahmy Optometry Centers Inc

  • Optometrist
  • Irvine, CA
National Provider Identifier
1538828751
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FAHMY OPTOMETRY CENTERS INC
Practice address
15785 Laguna Canyon Rd Ste 260
Irvine, CA 92618-3179
Phone
(949) 559-5905
NPI assigned
Dec 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Dr. Kirolos FahmyNPI 1548790777
Title
Optometrist
Phone
(805) 407-5582

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: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

15785 Laguna Canyon Rd Ste 260
Irvine, CA 92618-3179

Mailing address

PO Box 50243
Irvine, CA 92619-0243

Other names 1

  • Canyon Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220228002324 CA Part B Supplier - Clinic/Group Practice 3173917523 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Locations

15785 Laguna Canyon Rd
Ste 260
Irvine, CA 92618
Phone (949) 559-5905

Practitioners & affiliated clinicians

Practitioners 1

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": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1538828751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50243",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926190243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15785 LAGUNA CANYON RD STE 260",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183179",
            "telephone_number": "949-559-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAHMY OPTOMETRY CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "FAHMY",
        "authorized_official_first_name": "KIROLOS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "805-407-5582",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.