Organization Active NPI

Royal Optometry, Inc.

  • Optometrist
  • Buena Park, CA
National Provider Identifier
1801001854
Registry record updated Feb 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11519 Issued in CA
Legal business name
ROYAL OPTOMETRY, INC.
Practice address
5426 Beach Blvd
Buena Park, CA 90621-1234
Phone
(714) 522-1001
Fax
(714) 521-3838
NPI assigned
May 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2020

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

Authorized official

Name
Dr. Mailan TranNPI 1669785069
Title
Ceo
Phone
(714) 399-0678

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 11519 CA Primary

Addresses

Primary practice location

5426 Beach Blvd
Buena Park, CA 90621-1234

Mailing address

5426 Beach Blvd
Buena Park, CA 90621-1234
Phone (714) 522-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080804000654 CA Part B Supplier - Clinic/Group Practice 6103990452 Receives reassigned benefits from 2 practitioners
Practice locations: Buena Park, CA

National Provider Directory

National Provider Directory

Locations

1665 W Orangethorpe Ave
Fullerton, CA 92833
Phone (714) 447-1004

10120 Garden Grove Blvd
Ste 159
Garden Grove, CA 92844
Phone (714) 539-2040

Practitioners & affiliated clinicians

Practitioners 2

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": "1178928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582416000000",
    "number": "1801001854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211234",
            "telephone_number": "714-522-1001",
            "fax_number": "714-521-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5426 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211234",
            "telephone_number": "714-522-1001",
            "fax_number": "714-521-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-12",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "MAILAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-399-0678",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2020; 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.