NPIMap

Organization Active NPI

Eyedeology Optometry of Mission Viejo

Doing business as Eyedeology Optometry

  • Optometrist
  • Mission Viejo, CA
National Provider Identifier
1942858071
Registry record updated Sep 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYEDEOLOGY OPTOMETRY OF MISSION VIEJO
Doing business as
Eyedeology Optometry
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
Last updated
Sep 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2019

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

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

Mailing address

145 Via Murcia
San Clemente, CA 92672-3859
Phone (949) 290-2286

Other names 1

  • Eyedeology Optometry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • 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.