Active NPI
Mika Eve Fu, O.D.
- Optometrist
- San Marcos, CA
National Provider Identifier
1780882175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13304
- Practice address
- 151 S Las Posas Rd
Suite 171
San Marcos, CA 92078-2471 - Phone
- (760) 510-3130
- NPI assigned
- Jul 6, 2007
- Sex
- Female
- 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 | 13304 | CA | Primary |
Addresses
Primary practice location
151 S Las Posas Rd
Suite 171
San Marcos, CA 92078-2471
Mailing address
1699 Trenton Way
San Marcos, CA 92078-1074
Phone (714) 851-0924
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13304 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc. | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1780882175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1699 TRENTON WAY",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920781074",
"telephone_number": "714-851-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 S LAS POSAS RD",
"address_2": "SUITE 171",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920782471",
"telephone_number": "760-510-3130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FU",
"first_name": "MIKA",
"middle_name": "EVE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-06",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.