Individual provider Active NPI

Eriq Paul Plechot, OD

  • Optometrist
  • Santa Ana, CA
National Provider Identifier
1902549173
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35303 Issued in CA
Practice address
1595 E 17TH St
Santa Ana, CA 92705-8506
Phone
(714) 984-0788
NPI assigned
Apr 15, 2022
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35303 CA Primary

Addresses

Primary practice location

1595 E 17TH St
Santa Ana, CA 92705-8506

Mailing address

14726 Ramona Ave Ste 203
Chino, CA 91710-5730
Phone (626) 305-9100

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20230705001018 CA Practitioner - Optometry 9830558105 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Azul Vision IncGroup PAC ID 2264851740, 49 clinicians

Practice addresses (Care Compare)

7677 Ctr Ave
Suite 301
Huntington Beach, CA 92647-3049
Phone (714) 901-2007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35303CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall B. Ketchum University CurrentSince Jul 1, 2023 Accepting new patients
Azul Vision Inc. Optometrist CurrentSince Jun 12, 2024 Accepting new patients
Eyecare Specialists Medical Group, Inc CurrentSince Sep 20, 2023 Accepting new patients
Eyecare Specialists Medical Group, Inc Optometrist Current Accepting new patients
California Eye Specialists Medical Group, Inc Current Accepting new patients
Marshall B. Ketchum University Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Eyecare Specialists Medical Group, Inc. Optometrist CurrentSince Sep 20, 2023 Accepting new patients

Locations

5460 E La Palma Ave
Anaheim, CA 92807
Phone (714) 463-7500

947 S Anaheim Blvd
Ste 120
Anaheim, CA 92805
Phone (714) 821-4666

14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100

8028 3rd St
Downey, CA 90241
Phone (562) 622-8700

7677 Center Ave
Ste 301
Huntington Beach, CA 92647
Phone (714) 901-2004

81767 Doctor Carreon Blvd
Ste 101
Indio, CA 92201
Phone (760) 342-5268

23521 Paseo de Valencia
Ste 305
Laguna Hills, CA 92653
Phone (949) 581-1770

2600 Redondo Ave
Ste 203
Long Beach, CA 90806
Phone (562) 496-3600

1595 E 17th St
Santa Ana, CA 92705
Phone (323) 728-7998

399 E Highland Ave
Ste 401
Sn Bernrdno, CA 92404
Phone (909) 327-3118

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: eplechot@californiaeye.intellechartdirect.net
  • Direct secure messaging: eriq.plechot.p1@direct.atlantiseyecare.nextgenshare.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1902549173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 RAMONA AVE STE 203",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105730",
            "telephone_number": "626-305-9100",
            "fax_number": "626-305-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058506",
            "telephone_number": "714-984-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLECHOT",
        "first_name": "ERIQ",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-15",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.