West Coast Optometric Group

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WEST COAST OPTOMETRIC GROUP

Practice address

27724 Santa Margarita Pkwy
Mission Viejo, CA 92691-6653

Phone

(949) 583-0422

NPI assigned

Jun 7, 2017

Last updated

Jan 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anna Kame, OD

Title

Cfo

Phone

(714) 646-9871

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Jean Walsh, OD

  • Optometrist
  • Mission Viejo, CA
  • NPI 1548931413
  Medicare reassignment NPD

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1912436593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3038 E STEARNS ST",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27724 SANTA MARGARITA PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916653",
            "telephone_number": "949-583-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST OPTOMETRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "KAME",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-646-9871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness RX Physical Therapy, Inc.
• Phillip R Wells, MD
• Salomeh Wells
• Brett Michael Wertman, M.D.
• Wesley Y Kim M.D., Inc. (Saddleback Pediatrics)
• Linda L. West, PT, CHT
• Gary R Westad, D.C.
• Western Anesthesia Medical Associates Inc (Mission Viejo Anesthesia Consultants, Inc.)
• Western Pacific Med-Corp
• Western Youth Services

• Optometrist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.