Oc Optometry Group, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13797 Issued in CA

Legal business name

OC OPTOMETRY GROUP, INC.

Practice address

1000 Bristol St N Ste 29
Newport Beach, CA 92660-8917

Phone

(562) 276-8080

Fax

(949) 476-3087

NPI assigned

Jul 25, 2018

Last updated

Jul 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hawaa Ali, ODNPI 1194955849

Title

President

Phone

(562) 276-8080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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.

• Hawaa Elhaam Ali, O.D.

  • Optometrist
  • Newport Beach, CA
  • NPI 1194955849
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1609353317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BRISTOL ST N STE 29",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608917",
            "telephone_number": "562-276-8080",
            "fax_number": "949-476-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BRISTOL ST N STE 29",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608917",
            "telephone_number": "562-276-8080",
            "fax_number": "949-476-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC OPTOMETRY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "HAWAA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-276-8080",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.