Active NPI
Daniel E Quon, OD
- Optometrist
- Costa Mesa, CA
National Provider Identifier
1730346925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- CA05749T
- Practice address
- 949 South Coast Drive
Suite 155
Costa Mesa, CA 92626 - Phone
- (714) 540-2020
- Fax
- (714) 540-5844
- NPI assigned
- May 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CA05749T | CA | Primary |
Addresses
Primary practice location
949 South Coast Drive
Suite 155
Costa Mesa, CA 92626
Mailing address
949 South Coast Drive
Suite 155
Costa Mesa, CA 92626-7838
Phone (714) 540-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
949 S Coast Dr
Suite 155
Costa Mesa, CA 92626-7838
Phone (714) 540-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA05749T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel E. Quon, O.D. Inc. | Optometrist | Current | Accepting new patients |
Locations
949 S Coast Dr
Ste 155
Costa Mesa, CA 92626
Phone (714) 540-2020
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1730346925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "949 SOUTH COAST DRIVE",
"address_2": "SUITE 155",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926267838",
"telephone_number": "714-540-2020",
"fax_number": "714-540-5844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "949 SOUTH COAST DRIVE",
"address_2": "SUITE 155",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "92626",
"telephone_number": "714-540-2020",
"fax_number": "714-540-5844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUON",
"first_name": "DANIEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-16",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "CA05749T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.