Organization Active NPI

Eye Contact Optometric Centers, Inc

  • Optometrist
  • Irvine, CA
National Provider Identifier
1982913596
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8761T Issued in CA
Legal business name
EYE CONTACT OPTOMETRIC CENTERS, INC
Practice address
4706 Barranca Pkwy
Irvine, CA 92604-4730
Phone
(949) 857-2020
Fax
(949) 857-2027
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Dr. Stanton Kim, O.D.NPI 1497978357
Title
President
Phone
(949) 857-2020

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 SINGLE SPECIALTY GROUP 152W00000X 8761T CA Primary

Addresses

Primary practice location

4706 Barranca Pkwy
Irvine, CA 92604-4730

Mailing address

4706 Barranca Pkwy
Irvine, CA 92604-4730
Phone (949) 857-2020

Other names 1

  • Eye Contact Optometry & Orthokeratology Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140819001345 CA Part B Supplier - Clinic/Group Practice 0749405454 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Locations

4614 Barranca Pkwy
Irvine, CA 92604
Phone (949) 857-2020

4706 Barranca Pkwy
Irvine, CA 92604
Phone (949) 857-2020

25270 Marguerite Pkwy
Ste D
Mission Viejo, CA 92692
Phone (949) 581-1040

Practitioners & affiliated clinicians

Practitioners 1

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": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1982913596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 BARRANCA PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044730",
            "telephone_number": "949-857-2020",
            "fax_number": "949-857-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 BARRANCA PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044730",
            "telephone_number": "949-857-2020",
            "fax_number": "949-857-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CONTACT OPTOMETRIC CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "STANTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-857-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8761T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Contact Optometry & Orthokeratology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.