Organization Active NPI

Newport Mesa Optometry

  • Optometrist
  • Costa Mesa, CA
National Provider Identifier
1790154698
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 9084 TPG Issued in CA
Legal business name
NEWPORT MESA OPTOMETRY
Practice address
427 E 17TH St
Suite C
Costa Mesa, CA 92627-3201
Phone
(949) 642-2929
Fax
(949) 642-2225
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Dr. Jeffrey Safarik, O.D.NPI 1801882253
Title
Owner
Phone
(949) 642-2929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT 9084 TPG CA Primary

Addresses

Primary practice location

427 E 17TH St
Suite C
Costa Mesa, CA 92627-3201

Mailing address

427 E 17TH St
Suite C
Costa Mesa, CA 92627-3201
Phone (949) 642-2929

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2087774Newport Mesa Optometry427 E 17TH St Ste C, Costa Mesa, CA 92627Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory

Locations

427 E 17th St
Ste B
Costa Mesa, CA 92627

427 E 17th St
Ste C
Costa Mesa, CA 92627
Phone (949) 642-2929

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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": "1790154698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 E 17TH ST",
            "address_2": "SUITE C",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273201",
            "telephone_number": "949-642-2929",
            "fax_number": "949-642-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E 17TH ST",
            "address_2": "SUITE C",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273201",
            "telephone_number": "949-642-2929",
            "fax_number": "949-642-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT MESA OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "SAFARIK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-642-2929",
        "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 9084 TPG",
            "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 Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.