Organization Active NPI

Orange Coast Eye Center Inc

  • Ophthalmology Physician
  • Fountain Valley, CA
National Provider Identifier
1962693531
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ORANGE COAST EYE CENTER INC
Practice address
18426 Brookhurst St
Suite 103
Fountain Valley, CA 92708-6776
Phone
(714) 546-2020
Fax
(714) 436-2929
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
Erin Sciacca
Title
Billing Manager
Phone
(714) 546-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

18426 Brookhurst St
Suite 103
Fountain Valley, CA 92708-6776

Mailing address

18426 Brookhurst St
Suite 103
Fountain Valley, CA 92708-6776
Phone (714) 546-2020

Other identifiers 2

IdentifierTypeStateIssuer
00G270030MedicaidCA
W22487OtherCAMEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080617000434 CA Part B Supplier - Clinic/Group Practice 1355438938 Receives reassigned benefits from 5 practitioners
Practice locations: Fountain Valley, CA
O20100930054890 CA DME Supplier - Physician - Ophthalmology 1355438938 Practice locations: Fountain Valley, CA

National Provider Directory

National Provider Directory

Locations

18426 Brookhurst St
Fountain Valley, CA 92708

Practitioners & affiliated clinicians

Practitioners 5

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1962693531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18426 BROOKHURST ST",
            "address_2": "SUITE 103",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086776",
            "telephone_number": "714-546-2020",
            "fax_number": "714-436-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18426 BROOKHURST ST",
            "address_2": "SUITE 103",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086776",
            "telephone_number": "714-546-2020",
            "fax_number": "714-436-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COAST EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "SCIACCA",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "714-546-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G270030",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "W22487",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.