Organization Active NPI

Seapoint Optometry Group, P.C.

  • Optometrist
  • La Palma, CA
National Provider Identifier
1992231104
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11519 Issued in CA
Legal business name
SEAPOINT OPTOMETRY GROUP, P.C.
Practice address
4945 La Palma Ave
La Palma, CA 90623-2054
Phone
(562) 348-0074
Fax
(562) 348-0072
NPI assigned
May 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Christine M Nguyen-Le, O.D.
Title
President
Phone
(714) 548-1481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11519 CA Primary

Addresses

Primary practice location

4945 La Palma Ave
La Palma, CA 90623-2054

Mailing address

15382 Wilson St
Westminster, CA 92683-6341

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230501000467 CA Part B Supplier - Clinic/Group Practice 0941665715 Receives reassigned benefits from 1 practitioner
Practice locations: La Palma, 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": "1494201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1992231104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15382 WILSON ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4945 LA PALMA AVE",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906232054",
            "telephone_number": "562-348-0074",
            "fax_number": "562-348-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAPOINT OPTOMETRY GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-08",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "NGUYEN-LE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-548-1481",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.