DR. MARY MELINDA WELLS (NPI# 1093851610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093851610 |
| Entity Type | Individual |
| Full Name | DR. MARY MELINDA WELLS |
| Other Name | MELINDA WELLS |
| Credential | OD |
| Practice Address |
23591 El Toro Road Ste 145 Lake Forest CA 92630 |
| Practice Telephone | 9498593180 |
| Practice Fax Number | 9498596317 |
| Mailing Telephone | 9498593180 |
| Mailing Fax Number | 9498596317 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0P9120T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 8566227 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609348606 | Mary Margaret Wells | Developmental Therapist | 9233 Lakewind Ct, Indianapolis, IN 46256-9355 | 2019-01-02 |
| 1629520523 | Mary Wells | Registered Nurse | 682 Fiske Rd, Barton, VT 05822-9395 | 2016-10-26 |
| 1720498744 | Mary Alexia Wells | Speech-Language Pathologist | 3117 Alvey Park Drive W, Owensboro, KS 42303 | 2014-04-29 |
| 1538508296 | Mary Huerter Wells | Internal Medicine | 8303 Dodge St Ste 250, Omaha, NE 68114-4108 | 2013-06-17 |
| 1336418433 | Mary Elizabeth Wells | Speech-Language Pathologist | 4 Yacht Club Dr, # 5, Daphne, AL 36526-7193 | 2011-12-19 |
| 1356622906 | Mary Elizabeth Wells | Registered Nurse | 97 Markie Dr W, Rochester, NY 14606-4551 | 2011-09-08 |
| 1710135819 | Mary Alicia Wells | Veterinarian | 4642 Lebanon Road, Hermitage, TN 37076-1316 | 2008-09-03 |
| 1538337514 | Mary Ellen Wells | Licensed Practical Nurse | 20 Leigh Street, Huntington, NY 11743 | 2008-02-13 |
| 1285709774 | Mary E Wells | Nurse Practitioner | 849 E Industry St, Giddings, TX 78942-4301 | 2006-11-21 |
| 1740257674 | Mary T Wells | Pediatrics | 11035 W Forest Home Ave, Hales Corners, WI 53130-2541 | 2006-02-28 |
| Street Address |
23591 EL TORO ROAD STE 145 |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003205394 | Industrial Optical Service Inc. | Optometrist | 724 N Western Ave, Lake Forest, IL 60045-1820 | 2015-01-09 |
| 1861621484 | Horvath & Christensen Od Prof | Optometrist | 22681 Lake Forest Dr Ste A2, Lake Forest, CA 92630-1799 | 2009-07-02 |
| 1053576348 | Hillary Caryn Morrow | Optometrist | 224 E Westminster, Lake Forest, IL 60045-1840 | 2008-07-25 |
| 1619099769 | David Roy Tanouye | Optometrist | 25651 Atlantic Ocean Dr, Suite A-1, Lake Forest, CA 92630-8841 | 2007-04-06 |
| 1730216680 | Stephen Kay Christensen | Optometrist | 22681 Lake Forest Dr, Ste A-2, Lake Forest, CA 92630-1794 | 2007-02-27 |
| 1144313412 | John Celis, O.d., A Professional Corporation | Optometrist | 23600 Rockfield Blvd, Suite 3f, Lake Forest, CA 92630-1624 | 2006-10-01 |
| 1063437507 | Charles E Dominguez | Optometrist | 21098 Bake Pkwy, Suite 110, Lake Forest, CA 92630-2163 | 2006-07-13 |
| 1174576904 | Justin B Michaels | Optometrist | 23002 Lake Center Dr, Lake Forest, CA 92630-6801 | 2006-05-19 |
| 1548222169 | Kirk Stephen Roberts | Optometrist | 23811 Bridger Rd, Ste 110, Lake Forest, CA 92630 | 2006-04-06 |
| 1134197742 | Omid Khodai | Optometrist | 23 Bellflower, Lake Forest, CA 92630-8377 | 2006-03-09 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.