Organization Active NPI

Jacob Reznik MD and Alena Reznik MD a Prof Corp

  • Ophthalmology Physician
  • Newport Beach, CA
National Provider Identifier
1942880349
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
JACOB REZNIK MD AND ALENA REZNIK MD A PROF CORP
Doing business as
Glaucoma Care Center
Practice address
1401 Avocado Ave Ste 302
Newport Beach, CA 92660-7787
Phone
(310) 980-6038
Fax
(949) 335-6512
NPI assigned
Apr 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Alena Reznik, MDNPI 1871720987
Title
Manager
Phone
(310) 980-6038

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Glaucoma Specialist (Ophthalmology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0009X
Cornea and External Diseases Specialist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0120X

Addresses

Primary practice location

1401 Avocado Ave Ste 302
Newport Beach, CA 92660-7787

Mailing address

1401 Avocado Ave Ste 302
Newport Beach, CA 92660-7787
Phone (310) 980-6038

Other names 1

  • Glaucoma Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210723001405 CA Part B Supplier - Clinic/Group Practice 7719380088 Receives reassigned benefits from 2 practitioners
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1942880349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 302",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607787",
            "telephone_number": "310-980-6038",
            "fax_number": "949-335-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 302",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607787",
            "telephone_number": "310-980-6038",
            "fax_number": "949-335-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB REZNIK MD AND ALENA REZNIK MD A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "REZNIK",
        "authorized_official_first_name": "ALENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-980-6038",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glaucoma Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glaucoma Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.