Dominguez Alderson Optometric Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DOMINGUEZ ALDERSON OPTOMETRIC INC

Practice address

21098 Bake Pkwy
Suite 110
Lake Forest, CA 92630-2163

Phone

(949) 597-0104

Fax

(949) 597-0106

NPI assigned

Apr 26, 2011

Last updated

Oct 15, 2014By 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

Charles E Dominguez, ODNPI 1063437507

Title

Medical Director

Phone

(949) 597-0104

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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.

• Charles E Dominguez, O.D.

  • Optometrist
  • Lake Forest, CA
  • NPI 1063437507
  Medicare reassignment Care Compare group Authorized official
• Cheryl Evelyn Alderson, O.D.

  • Optometrist
  • Lake Forest, CA
  • NPI 1366521809
  Medicare reassignment Care Compare group
• Colleen Hannegan, RDO

  • Optician
  • Lake Forest, CA
  • NPI 1619024601
  NPD (past)
• Joseph Ridenour, OD

  • Optometrist
  • Bishop, CA
  • NPI 1811576192
  NPD (past)

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1922399864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21098 BAKE PKWY",
            "address_2": "SUITE 110",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302163",
            "telephone_number": "949-597-0104",
            "fax_number": "949-597-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21098 BAKE PKWY",
            "address_2": "SUITE 110",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302163",
            "telephone_number": "949-597-0104",
            "fax_number": "949-597-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINGUEZ ALDERSON OPTOMETRIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-597-0104",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie J. Diramio, MD
• Vince Disaia, D.C.
• Sharon Marie Dobbs, LCSW
• Nandi Dogani
• Arlene Cagampang Domingo, FNP-BC
• Charles E Dominguez, O.D.
• Vanessa Jacqueline Dominguez
• Shane Sarret Doney, D.C.
• Shadi Doroudian
• Christine Downing, LPCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.