NPIMap

Organization Active NPI

Luis a Chanes M D Inc

Doing business as Eye Associates of Orange County

  • Specialist
  • Santa Ana, CA
National Provider Identifier
1568481679
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G73198 Issued in CA
Legal business name
LUIS A CHANES M D INC
Doing business as
Eye Associates of Orange County
Practice address
2621 S Bristol St
Suite 205
Santa Ana, CA 92704-5766
Phone
(714) 557-5777
Fax
(714) 557-7710
NPI assigned
Jul 19, 2006
Last updated
Jan 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Dr. Luis Alberto Chanes, M.D.NPI 1043277361
Title
Owner/Physician
Phone
(714) 557-5777

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
Specialist 174400000X G73198 CA Primary

Addresses

Primary practice location

2621 S Bristol St
Suite 205
Santa Ana, CA 92704-5766

Mailing address

2621 S Bristol St
Suite 205
Santa Ana, CA 92704-5766
Phone (714) 557-5777

Other names 1

  • EYE ASSOCIATES OF ORANGE COUNTY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050809000697 CA Part B Supplier - Clinic/Group Practice 9739118829 Receives reassigned benefits from 14 practitioners
Practice locations: Mission Viejo, CA; Santa Ana, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2286387Eye Associates of Orange County2621 Bristol Street Ste 205, Santa Ana, CA 92704Certificate of waiverJul 26, 2027

National Provider Directory

National Provider Directory

Locations

27871 Medical Center Rd
Ste 102
Mission Viejo, CA 92691

27871 Medical Center Rd
Ste 120
Mission Viejo, CA 92691
Phone (714) 901-2006

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1568481679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST",
            "address_2": "SUITE 205",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045766",
            "telephone_number": "714-557-5777",
            "fax_number": "714-557-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST",
            "address_2": "SUITE 205",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045766",
            "telephone_number": "714-557-5777",
            "fax_number": "714-557-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS A CHANES M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "CHANES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "714-557-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G73198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE ASSOCIATES OF ORANGE COUNTY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EYE ASSOCIATES OF ORANGE COUNTY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.