Tustin Optometric Center

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TUSTIN OPTOMETRIC CENTER

Practice address

2390 N Tustin Ave Ste B
Santa Ana, CA 92705-1657

Phone

(714) 543-3167

NPI assigned

Dec 26, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Anna Sun Kame, ODNPI 1770554727

Title

Cfo/Secretary

Phone

(213) 357-2025

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Justine Hsieh, OD

  • Optometrist
  • Santa Ana, CA
  • NPI 1619502705
  Medicare reassignment NPD
• Gregory Yuji Kame, OD FAAO

  • Corneal and Contact Management Optometrist
  • Santa Ana, CA
  • NPI 1518938307
  Medicare reassignment NPD
• Aaron Michael Sako, O.D.

  • Optometrist
  • Laguna Hills, CA
  • NPI 1376585331
  Medicare reassignment NPD
• Anna Sun Kame, O.D.

  • Corneal and Contact Management Optometrist
  • Los Angeles, CA
  • NPI 1770554727
  NPD Authorized official
• Emerick K Nakasone, OD

  • Optometrist
  • Santa Ana, CA
  • NPI 1346317112
  NPD (past)

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1952940702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 EUREKA AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928866103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 N TUSTIN AVE STE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051657",
            "telephone_number": "714-543-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSTIN OPTOMETRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "KAME",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "SUN",
        "authorized_official_title_or_position": "CFO/SECRETARY",
        "authorized_official_telephone_number": "213-357-2025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Turner, PA-C
• Synthia Ann Turner
• Tustin ABA Services for Kids LLC
• Tustin Dialysis Center LLC
• Tustin Hills Healthcare, Inc.
• Valerie Tuttle, POLYSOMNOGRAPHY TECH
• Tydus Group
• Tate William Tyler
• U.S. Healthworks Medical Group, PC
• U.S. Healthworks Medical Group, PC

• Optometrist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.