South County Eye Care Optometric Group

Primary specialty

OptometristTaxonomy code 152W00000X

License

COR 1085 Issued in CA

Legal business name

SOUTH COUNTY EYE CARE OPTOMETRIC GROUP

Practice address

23002 Lake Center Dr
Lake Forest, CA 92630-6801

Phone

(949) 454-1064

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Deana Hardy Weems, ABO, NCLE

Title

Billing Specialist

Phone

(949) 454-1064

Specialties & licenses 1

Addresses

Other names 1

• Kidder & Slosar & Associates Other name

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Michaels & Vu OD a Professional Corporation

  dba South County Eye Care Optometric Group

  • Optometrist
  • Lake Forest, CA
  • NPI 1376748368
  NPPES parent name

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780743153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23002 LAKE CENTER DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306801",
            "telephone_number": "949-454-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23002 LAKE CENTER DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306801",
            "telephone_number": "949-454-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY EYE CARE OPTOMETRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEEMS",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "HARDY",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "949-454-1064",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ABO, NCLE"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "COR 1085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidder & Slosar & Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachel Soltani
• Ryan Michael Somers, DPT
• Song W. Jung. DDS. Inc (Christian Dental Arts)
• Raul Sosa Jr.
• Ashlee Nicole-Morton Sourapas, LM, CPM
• South County Home Health Inc.
• South County Psychological, Inc.
• South County Registry
• Southern Orange County Pediatric Associates, Inc.
• Katrina Wingco Spadafore, PA-C

• Optometrist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.