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PARK PLACE OPTOMETRY NPI 1184808057


NPI Information

NPI: 1184808057
Provider Name: PARK PLACE OPTOMETRY
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
2963 MICHELSON DR. #A
IRVINE, CA
ZIP 92612
Phone: (949) 250-7071
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PARK PLACE OPTOMETRY is a preferred provider organization in Irvine, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. PARK PLACE OPTOMETRY NPI is 1184808057. The provider is registered as an organization entity type.

The provider's business location address is:

2963 MICHELSON DR. #A
IRVINE, CA
ZIP 92612-648
Phone: (949) 250-7071
Fax: (949) 250-7072

The provider's authorized official is Donny Nguyen .
The authorized official title is Manager and has the following contact phone number (949) 250-7071.

The enumeration date for this NPI number is 12/27/2007 and was last updated on 12/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider OrganizationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W16105MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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