Individual provider Active NPI

Olivia June Honda, OD

  • Optometrist
  • Yorba Linda, CA
National Provider Identifier
1942854328
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT34253-TLG Issued in CA
Practice address
20399 Yorba Linda Blvd
Yorba Linda, CA 92886-3062
Phone
(714) 779-8521
Fax
(714) 779-8581
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 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 OPT34253-TLG CA Primary

Addresses

Primary practice location

20399 Yorba Linda Blvd
Yorba Linda, CA 92886-3062

Mailing address

13881 San Antonio Ave
Chino, CA 91710-7428
Phone (909) 614-9779

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
I20210310003012 CA Practitioner - Optometry 1456767714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles Bittel III OD IncGroup PAC ID 1456596345, 2 clinicians

Practice addresses (Care Compare)

20399 Yorba Linda Blvd
Yorba Linda, CA 92886-3062
Phone (714) 779-8521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34253CAMDPeriodontist
OPT34253-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Bittel III, O.D., Inc. Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Newport Center Eye Specialists a Medical Corporation Optometrist PastSince Jul 28, 2019 Accepting new patients
Hoag Memorial Hospital Presbyterian PastSince Jul 28, 2019 Accepting new patients
Charles F. Bittel, O.D., Inc. Optometrist PastSince Jan 1, 2021 Accepting new patients

Locations

20399 Yorba Linda Blvd
Yorba Linda, CA 92886
Phone (714) 779-8521

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1942854328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13881 SAN ANTONIO AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107428",
            "telephone_number": "909-614-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20399 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863062",
            "telephone_number": "714-779-8521",
            "fax_number": "714-779-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONDA",
        "first_name": "OLIVIA",
        "middle_name": "JUNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34253-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.