Deric Crane Simmons, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9360T Issued in CA

Practice address

8907 Warner Ave
Suite 125
Huntington Beach, CA 92647-5075

Phone

(714) 962-6400

Fax

(714) 596-5972

NPI assigned

Oct 21, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intermountain Eye and Laser Centers PLLCGroup PAC ID 6800709502, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.09 of 100Reported as group

Quality

72.7

Improvement activities

40

Cost

80.04

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Intermountain Eye and Laser Centers PLLC

  dba Intermountain Eye Centers

  • Ophthalmology Physician
  • Boise, ID
  • NPI 1730119611

  Optometrist

  Medicare reassignment Care Compare group NPD
• Deric C Simmons

  • Optometrist
  • Huntington Beach, CA
  • NPI 1902124159
  NPD (past) Authorized official
• Intermountain Eye and Laser Centers PLLC

  dba Intermountain Eye Centers

  • Glaucoma Specialist (Ophthalmology) Physician
  • Eagle, ID
  • NPI 1518643923

  Optometrist

  NPD

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801886841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8907 WARNER AVE",
            "address_2": "SUITE 125",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475075",
            "telephone_number": "714-962-6400",
            "fax_number": "714-596-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 WARNER AVE",
            "address_2": "SUITE 125",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475075",
            "telephone_number": "714-962-6400",
            "fax_number": "714-596-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "DERIC",
        "middle_name": "CRANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9360T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0093600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Siembieda, P.T.
• Christian Chanse Sierra
• Maria Silva, BSW
• Daniel Sim
• Stacey Simbulan
• Markella Simmons
• Robert Simmons, MS, BCBA
• Scotty Simmons
• Dana Simon
• Megan K Simon, BA

• Optometrist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.