DR. ALISSA SUE WALD (NPI# 1720132251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720132251 |
| Entity Type | Individual |
| Full Name | DR. ALISSA SUE WALD |
| Credential | O.D. |
| Practice Address |
1545 Adams Ave Suite 100 Costa Mesa CA 92626-3814 |
| Practice Telephone | 7145459162 |
| Practice Fax Number | 7142411345 |
| Mailing Telephone | 7145459162 |
| Mailing Fax Number | 7142411345 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2010-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 9377TPL | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 7145459162 | 05 |
| Street Address |
1545 ADAMS AVE SUITE 100 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225443732 | Lawrence Joseph Sieve IIi | Optometrist | 1545 Adams Ave, Costa Mesa, CA 92626-3874 | 2014-06-23 |
| 1851574958 | Dr. Alissa Wald and Associates Optometry, Inc. | Optometrist | 1545 Adams Ave, Suite 100, Costa Mesa, CA 92626-3814 | 2007-12-11 |
| 1457559593 | Amanda Meredith Hobbs Mercer | Optometrist | 1545 Adams Ave, Suite 100, Costa Mesa, CA 92626-3814 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| 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 |
|---|---|---|---|---|
| 1316544364 | Chelsey Kimiko Honma | Optometrist | 3151 Airway Ave Ste M3, Costa Mesa, CA 92626-4626 | 2020-10-02 |
| 1639726680 | Sheena Ansarinia | Optometrist | 1545 Adams Ave Ste 100, Costa Mesa, CA 92626-3875 | 2019-08-23 |
| 1467981928 | Laura Le | Optometrist | 1696 Newport Blvd Ste D, Costa Mesa, CA 92627-3787 | 2017-06-08 |
| 1720343478 | Valerie Elaine Lam | Optometrist | 3151 Airway Ave Ste J2, Costa Mesa, CA 92626-4624 | 2012-07-09 |
| 1669751095 | Thai Tran | Optometrist | 1500 Adams Ave Ste 102, Costa Mesa, CA 92626-3864 | 2011-08-16 |
| 1184951345 | Neda Khadem | Optometrist | 1545 Nutmeg Pl, Costa Mesa, CA 92626-2500 | 2009-11-09 |
| 1730346925 | Daniel E Quon | Optometrist | 949 South Coast Drive, Suite 155, Costa Mesa, CA 92626 | 2008-05-16 |
| 1770617763 | Robert S Glass | Optometrist | 1696 Newport Blvd, Ste D, Costa Mesa, CA 92627-3787 | 2007-03-14 |
| 1174530877 | Jack Chia Shea | Optometrist | 2200 Harbor Blvd, Ste D130, Costa Mesa, CA 92627 | 2006-08-02 |
| 1417980186 | Daniel E. Quon, O.d. Inc. | Optometrist | 949 S Coast Dr, Suite 155, Costa Mesa, CA 92626-7737 | 2006-07-08 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
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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.