DR. DERIC CRANE SIMMONS (NPI# 1801886841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801886841 |
| Entity Type | Individual |
| Full Name | DR. DERIC CRANE SIMMONS |
| Credential | O.D. |
| Practice Address |
8907 Warner Ave Suite 125 Huntington Beach CA 92647-5075 |
| Practice Telephone | 7149626400 |
| Practice Fax Number | 7145965972 |
| Mailing Telephone | 7149626400 |
| Mailing Fax Number | 7145965972 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 9360T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0093600 | 05 |
| Street Address |
8907 WARNER AVE SUITE 125 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647-5075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902372170 | Nancy Thuy Garcia | Nurse Practitioner | 8907 Warner Ave, Huntington Beach, CA 92647-5075 | 2018-10-16 |
| 1245500701 | The House of Ruach | Voluntary or Charitable | 8907 Warner Ave, Ste. 202, Huntington Beach, CA 92647-5075 | 2011-12-30 |
| 1912283474 | Victoria T Tran Md Inc | Plastic Surgery | 8907 Warner Ave, Ste 201, Huntington Beach, CA 92647-5075 | 2011-10-28 |
| 1598079055 | Olga Wingood | Marriage & Family Therapist | 8907 Warner Ave, #168, Huntington Beach, CA 92647-5075 | 2010-07-27 |
| 1679739569 | Darin Fong | Dentist | 8907 Warner Ave, Suite 100, Huntington Beach, CA 92647-5075 | 2008-07-31 |
| 1346368222 | Victoria Cilluffo Sharma | Social Worker | 8907 Warner Ave, Suite 224, Huntington Beach, CA 92647-5075 | 2007-03-27 |
| 1245302447 | Cary H Rothenberg | Chiropractor | 8907 Warner Ave, Suite 160, Huntington Beach, CA 92647-5075 | 2006-11-14 |
| 1265518146 | Victoria Tran | Plastic Surgery | 8907 Warner Ave, Ste 201, Huntington Beach, CA 92647-5075 | 2006-10-31 |
| 1306921317 | Michael G Griffo | Chiropractor | 8907 Warner Ave, Suite 160, Huntington Beach, CA 92647-5075 | 2006-10-26 |
| 1326158346 | Robert Lee Swain | Chiropractor | 8907 Warner Ave, Suite 160, Huntington Beach, CA 92647-5075 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464231 | Patricia Michelle Ramsey | Counselor | 16761 Viewpoint Lane, Apt 386, Huntington Beach, CA 92647 | 2018-01-02 |
| 1780103390 | Luz Flores | Health Educator | 8041 Newman Avenue, Hungtington Beach, CA 92647 | 2017-09-14 |
| 1134649106 | Louise Polzel | Social Worker | 17111 Beach Blvd St 205, Huntington Beach, CA 92647 | 2017-06-21 |
| 1205364015 | Chi Hong Nguyen | Family Medicine | 8201 Newman Ave 101, Huntington, CA 92647 | 2017-05-24 |
| 1396281770 | Sandra Vera | Specialist/Technologist | 7812 Edinger Ave. #400, Huntington Beach, CA 92647 | 2017-01-10 |
| 1245773050 | Sherika Benjamin | Technician, Pathology | 8211 San Angelo Drive Suit #f2, Huntington Beach, CA 92647 | 2016-11-28 |
| 1306389440 | Nhi Pham Nguyen | Behavioral Analyst | 17732 Beach Blvd., Suite G, Huntington Beach, CA 92647 | 2016-11-21 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1699148494 | Daniel Bui | Dentist | 16900-a Goldenwest St, Huntington Beach, CA 92647 | 2015-11-03 |
| 1598132359 | Hayley Patricia Buchanan | Specialist/Technologist | 23441 S. Pointe Drive, Suite 245, Laguna Hills, ORANGE COUNTY 92647 | 2015-08-27 |
| Find all providers in zip 92647 | ||||
| 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 |
|---|---|---|---|---|
| 1750874608 | Joseph Hien Trung Bui | Optometrist | 7596 Edinger Ave, Huntington Beach, CA 92647-3570 | 2018-06-14 |
| 1588151914 | Lindsay Rose Fullam | Optometrist | 6771 Warner Ave, Huntington Beach, CA 92647-9400 | 2018-04-20 |
| 1063870574 | Don Quang Tran | Optometrist | 15061 Springdale St, 103, Huntington Beach, CA 92649-1163 | 2016-01-29 |
| 1104230200 | Lilan Le | Optometrist | 5071 Audrey Dr, Huntington Beach, CA 92649-2402 | 2014-06-17 |
| 1124351440 | Kate Ho | Optometrist | 20932 Brookhurst St Ste 208, Huntington Beach, CA 92646-6684 | 2009-09-18 |
| 1265625891 | Stephany Mytran Vong | Optometrist | 18569 Main St, Huntington Beach, CA 92648 | 2007-08-27 |
| 1760508766 | Bonnie H Chow | Optometrist | 8230 Talbert Ave., Huntington Beach, CA 92646 | 2007-03-21 |
| 1962531228 | Walter Yim | Optometrist | 10088 Adams Ave, Huntington Beach, CA 92646-4905 | 2007-03-05 |
| 1114082344 | Johan M Tran | Optometrist | 8907 Warner Ave Ste 125, Huntington Beach, CA 92647-5080 | 2006-12-27 |
| 1508932393 | Quynh Hoa Thi Truong | Optometrist | 21200 Beach Blvd, Huntington Beach, CA 92648-5411 | 2006-11-26 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92647 |
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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.