Individual provider Active NPI

Laura Elizabeth Giampiccolo, O. D.

  • Optometrist
  • Aliso Viejo, CA
National Provider Identifier
1730169996
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6926T Issued in CA
Practice address
27001 Moulton Pkwy
Suite A100
Aliso Viejo, CA 92656-3600
Phone
(949) 362-6552
Fax
(949) 362-6566
NPI assigned
Jan 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6926T CA Primary

Addresses

Primary practice location

27001 Moulton Pkwy
Suite A100
Aliso Viejo, CA 92656-3600

Mailing address

27001 Moulton Pkwy
Suite A100
Aliso Viejo, CA 92656-3600
Phone (949) 362-6552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6926CAMDAddiction (Substance Use Disorder) Counselor
6926TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tanya Optometry Corporation Optometrist CurrentSince Apr 15, 2015 Accepting new patients

Locations

27001 Moulton Pkwy
Ste A100
Aliso Viejo, CA 92656
Phone (949) 362-6552

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1730169996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27001 MOULTON PKWY",
            "address_2": "SUITE A100",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563600",
            "telephone_number": "949-362-6552",
            "fax_number": "949-362-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 MOULTON PKWY",
            "address_2": "SUITE A100",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563600",
            "telephone_number": "949-362-6552",
            "fax_number": "949-362-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMPICCOLO",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-21",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6926T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.