Henry Guan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34601 Issued in CA

Practice address

36330 Hidden Springs Rd Ste a
Wildomar, CA 92595-5804

Phone

(951) 609-9099

NPI assigned

Aug 8, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NY, CT, IA4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Optometry

Education

New England College of Optometry, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Total Vision PC

  dba Total Vision

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  Medicare reassignment NPD
• Empire Vision Center Inc

  dba Davis Vision

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  Medicare reassignment NPD
• Raffaele Inc

  dba Pearle Vision Center

  • Eyewear Supplier
  • Hamden, CT
  • NPI 1346365145
  Medicare reassignment NPD
• American Eyecare PC

  • Optometrist
  • Keokuk, IA
  • NPI 1447349279
  Medicare reassignment
• Empire Vision Center, Inc

  dba Visionworks

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD
• Marina Eyecare Center

  dba Pacific EyeCare Center

  • Optometrist
  • Los Angeles, CA
  • NPI 1407917701
  NPD (past)

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

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1700496254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 MAR VISTA DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920817518",
            "telephone_number": "858-342-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36330 HIDDEN SPRINGS RD STE A",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925955804",
            "telephone_number": "951-609-9099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "282 N El Camino Real Ste G",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920242863",
            "country_code": "US",
            "telephone_number": "858-342-6493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "565 Mar Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920817518",
            "country_code": "US",
            "telephone_number": "858-342-6493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUAN",
        "first_name": "HENRY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-08",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zelda Griffith
• Anahi Grijalva
• Annicka Grosz
• Paul K Grover, P.A.-C
• Jessica Groves
• Yesenia Guerrero
• Yonatan Gugsa
• Kayla Guise
• Nadine M Gunther
• Ashley Gutierrez Martinez

• Optometrist in Wildomar, CA
• Providers in Wildomar, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.