Mary Lucinda Demoss, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

8955 Issued in CA

Practice address

31722 Railroad Canyon Rd
Canyon Lake, CA 92587-9486

Phone

(951) 244-4444

Fax

(951) 244-1414

NPI assigned

May 16, 2006

Sex

Female

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 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

Specialty

Optometry

Education

Southern California College of Optometry, 1988

Medicare assignment

May accept Medicare assignment

Group practices

Michaels and Vu OD a Professional CorporationGroup PAC ID 8527157437, 3 clinicians

Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Michaels & Vu OD a Professional Corporation

  • Optometrist
  • Lake Forest, CA
  • NPI 1376748368
  Medicare reassignment Care Compare group NPD
• Total Vision PC

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  Medicare reassignment Care Compare group NPD
• Mary L. Demoss O.D. Inc.

  • Optometrist
  • Canyon Lake, CA
  • NPI 1457396871
  NPD (past) Authorized official
• Seal Beach Eyes Optometry Inc

  • Optometrist
  • Seal Beach, CA
  • NPI 1124171566
  NPD (past)
• Steven T Klein OD & Kimberly Plattner OD a Professional Corporation

  • Optometrist
  • San Diego, CA
  • NPI 1861529703
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1912958539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23002 LAKE CENTER DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306801",
            "telephone_number": "949-454-1064",
            "fax_number": "949-454-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31722 RAILROAD CANYON RD",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925879486",
            "telephone_number": "951-244-4444",
            "fax_number": "951-244-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOSS",
        "first_name": "MARY",
        "middle_name": "LUCINDA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0089550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casa de Lago
• Chanel Chew Castillo
• Garrett Chase
• Dawn Chatigny, LAC
• Lorna Lyanthie Conyers, PHD
• Alex Denes, MD
• Heather Depriest
• William W Everly Jr., CARE PROVIDER
• Tavia I Fontenot
• Hannah E Fraley, PHD, APRN, PMHNP-BC

• Optometrist in Canyon Lake, CA
• Providers in Canyon Lake, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.