Orange County Glaucoma

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G065674 Issued in CA

Legal business name

ORANGE COUNTY GLAUCOMA

Practice address

1200 N Tustin Ave
Suite 240
Santa Ana, CA 92705-3508

Phone

(714) 542-0111

Fax

(949) 854-7522

NPI assigned

Dec 18, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Richard Allen Hill, M.D.

Title

President

Phone

(714) 542-0111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Leslie Alexander Bruce-Lyle, M.D.

  • Ophthalmology Physician
  • Loma Linda, CA
  • NPI 1316048382

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1134864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1922084359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N TUSTIN AVE",
            "address_2": "SUITE 240",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053508",
            "telephone_number": "714-542-0111",
            "fax_number": "949-854-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N TUSTIN AVE",
            "address_2": "SUITE 240",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053508",
            "telephone_number": "714-542-0111",
            "fax_number": "949-854-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY GLAUCOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-18",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-542-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G065674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orange County Cardiology
• Orange County Children'S Therapeutic Arts Center
• Orange County Digestive Anesthesia, Inc.
• Orange County Emergency Surgical Specialists, Inc
• Orange County Geriatric Physical Therapy
• Orange County Global Medical Center, Inc
• Orange County Global Medical Center, Inc
• Orange County HCA/BHS
• Orange County Health Care Agency
• Orange County Health Care Agency

• All providers in Santa Ana, CA
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.