Active NPI
BRMP Professional Medical Corporation
Doing business as Advance Eye Center
- Ophthalmology Physician
- Anaheim, CA
National Provider Identifier
1770674368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- BRMP PROFESSIONAL MEDICAL CORPORATION
- Doing business as
- Advance Eye Center
- Practice address
- 1314 S Euclid St
Suite 103
Anaheim, CA 92802-2079 - Phone
- (714) 808-9358
- Fax
- (714) 808-9359
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bao-Thu Nguyen, M.D.
- Title
- Physician
- Phone
- (714) 808-9358
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | CA | Primary |
Addresses
Primary practice location
1314 S Euclid St
Suite 103
Anaheim, CA 92802-2079
Mailing address
PO Box 9500
Anaheim, CA 92812-7500
Phone (714) 808-9358
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W20498 | Other | MEDICARE PTAN |
Other names 1
- Advance Eye Center
National Provider Directory
National Provider DirectoryLocations
293 S Main St
Ste 100
Orange, CA 92868
Phone (714) 352-2911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286928000000",
"number": "1770674368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9500",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928127500",
"telephone_number": "714-808-9358",
"fax_number": "714-808-9359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 S EUCLID ST",
"address_2": "SUITE 103",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928022079",
"telephone_number": "714-808-9358",
"fax_number": "714-808-9359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRMP PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2010-10-13",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "BAO-THU",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "714-808-9358",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "W20498",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advance Eye Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.