Eyedeology Optometry of Mission Viejo

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYEDEOLOGY OPTOMETRY OF MISSION VIEJO

Practice address

30 The Shops at Mission Viejo
Mission Viejo, CA 92691-6527

Phone

(949) 364-4004

Fax

(949) 364-4001

NPI assigned

Sep 2, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Bobby Darrell Smith II, ODNPI 1023320504

Title

President

Phone

(949) 290-2286

Specialties & licenses 1

Addresses

Other names 1

• Eyedeology Optometry Doing business as

Locations

Practitioners 1

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

• Bobby Darrell Smith II, O.D.

  • Optometrist
  • Ventura, CA
  • NPI 1023320504
  NPD Authorized official

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567382400000",
    "number": "1942858071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 VIA MURCIA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723859",
            "telephone_number": "949-290-2286",
            "fax_number": "949-364-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 THE SHOPS AT MISSION VIEJO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916527",
            "telephone_number": "949-364-4004",
            "fax_number": "949-364-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDEOLOGY OPTOMETRY OF MISSION VIEJO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-02",
        "last_updated": "2019-09-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "DARRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-290-2286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyedeology Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mayra Jane Estrada, MA.,
• Veronica Estrada, FNP
• Edmund S Evangelista, MD
• Sherri Evans
• Everwell Recovery LLC
• Andrew Theodore Ezpeleta, ACSW
• F Awadalla MD PC
• F Awadalla MD PC
• F Lee Irwin Jr MD Inc
• Faculty Physicians and Surgeons of Llusm

• 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 Sep 2, 2019; 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.