C & C Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 12280 TLG Issued in CA

Legal business name

C & C OPTOMETRY, INC.

Practice address

311 N Tustin St Ste B
Orange, CA 92867-7776

Phone

(714) 997-7500

Fax

(714) 997-4864

NPI assigned

Sep 21, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Matty Chang, O.D.NPI 1770502296

Title

Owner/O.D.

Phone

(714) 997-7500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matty Chang, O.D.

  • Optometrist
  • Orange, CA
  • NPI 1770502296
  Medicare reassignment Authorized official
• Courtney Kassebaum Bovy, O.D.

  • Optometrist
  • Anaheim, CA
  • NPI 1932504925
  NPD
• Christine Yee

  • Optometrist
  • Rancho Cucamonga, CA
  • NPI 1639701329
  NPD
• Frank H. Yoon, O.D.

  • Optometrist
  • Orange, CA
  • NPI 1629073051
  NPD
• Kun Hee Lim, OD

  • Optometrist
  • Corona, CA
  • NPI 1801422688
  NPD (past)
• Jerry T Lin, O.D.

  • Optometrist
  • Placentia, CA
  • NPI 1710022686
  NPD (past)

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1730558784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N TUSTIN ST STE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677776",
            "telephone_number": "714-997-7500",
            "fax_number": "714-997-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N TUSTIN ST STE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677776",
            "telephone_number": "714-997-7500",
            "fax_number": "714-997-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "MATTY",
        "authorized_official_title_or_position": "OWNER/O.D.",
        "authorized_official_telephone_number": "714-997-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 12280 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ca Medical Consultants
• Ca Ya Services LLC
• Angela Cabada Reyes
• Conralyn Cabalbag, MS, RD, CSR
• Catherine Denise a Amores Cabales

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.