Mika E Fu O D Inc a California Professional Optometric Corporatio

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT13304T Issued in CA

Legal business name

MIKA E FU O D INC A CALIFORNIA PROFESSIONAL OPTOMETRIC CORPORATIO

Practice address

151 S Las Posas Rd
Ste 171
San Marcos, CA 92078-2471

Phone

(760) 510-3130

Fax

(760) 510-3131

NPI assigned

Nov 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mika E Fu, O.D.

Title

President

Phone

(760) 510-3130

Specialties & licenses 1

Addresses

Other names 1

• Grand Vision Optometry Doing business as

Locations

Practitioners 2

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

• Natalie Anne Fetchen

  • Optometrist
  • San Marcos, CA
  • NPI 1174367478
  NPD
• Connie Nguyen, O.D.

  • Optometrist
  • Carlsbad, CA
  • NPI 1073666897
  NPD (past)

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1871746982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S LAS POSAS RD",
            "address_2": "STE 171",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782471",
            "telephone_number": "760-510-3130",
            "fax_number": "760-510-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S LAS POSAS RD",
            "address_2": "STE 171",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782471",
            "telephone_number": "760-510-3130",
            "fax_number": "760-510-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKA E FU O D INC A CALIFORNIA PROFESSIONAL OPTOMETRIC CORPORATIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "FU",
        "authorized_official_first_name": "MIKA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-510-3130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13304T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Vision Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Vision Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Analicia Meza Magdaleno
• MHN Government Services LLC
• Michael Hachadorian MD Inc
• Michael J Nelson DDS Patricia L Yoshida DDS Inc
• Michael Z McBride DDS
• Benilda Milan-Aglugub
• Rose Pueblos Milana, PT
• Milestones Optometry, Inc.
• Mireya Millan
• Angela Rose Miller

• Optometrist in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.