SHEA OPTOMETRIC CORPORATION (NPI# 1881832962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881832962 |
| Entity Type | Organization |
| Organization Name | SHEA OPTOMETRIC CORPORATION |
| Other Organization Name | NUVIEW OPTOMETRIC CENTER |
| Practice Address |
2200 Harbor Blvd Ste D-130 Costa Mesa CA 92627-2501 |
| Practice Telephone | 9496427882 |
| Practice Fax Number | 9496427792 |
| Mailing Telephone | 9496427882 |
| Mailing Fax Number | 9496427792 |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-03-03 |
| Authorized Official Name | DR. JACK C. SHEA (PRESIDENT) |
| Authorized Official Telephone | 9496427882 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
11538TPL | CA | Ambulatory Health Care Facilities |
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
11538TPL | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Nuview Optometric Center | Doing Business As Name - Organization |
| Street Address |
2200 HARBOR BLVD STE D-130 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174530877 | Jack Chia Shea | Optometrist | 2200 Harbor Blvd, Ste D130, Costa Mesa, CA 92627 | 2006-08-02 |
| 1770970394 | Brittany Sikes | Behavioral Analyst | 2200 Harbor Blvd, Costa Mesa, CA 92627-2501 | 2015-04-21 |
| 1598150369 | Tiffany Mcdougal | Behavioral Analyst | 2200 Harbor Blvd, Suite C250, Costa Mesa, CA 92627-2501 | 2015-03-30 |
| 1184013732 | Casey Bradford | Behavioral Analyst | 2200 Harbor Blvd, Suite C250, Costa Mesa, CA 92627-2501 | 2015-01-21 |
| 1477865087 | Stacey Gillis Chiropractic Inc | Chiropractor | 2200 Harbor Blvd, Suite B-160, Costa Mesa, CA 92627-2501 | 2010-07-12 |
| 1346492055 | Isaac Beshay M D Inc. | Family Medicine | 2200 Harbor Blvd, Suite B210, Costa Mesa, CA 92627-2501 | 2008-10-14 |
| 1518164854 | Sharon Pentony Ignat | Nurse Practitioner | 2200 Harbor Blvd, Costa Mesa, CA 92627-2501 | 2007-06-29 |
| 1164514220 | Anthony Hung Cao Dds A Professional Corporation | Dentist | 2200 Harbor Blvd, Ste B230, Costa Mesa, CA 92627 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164886495 | Kristin Pelinka, Md Inc. | Clinic/Center | 1190 Baker St Ste 103, Costa Mesa, CA 92626-4105 | 2016-04-12 |
| 1407392145 | Uc Irvine Cancer Center - Newport | Clinic/Center | 1640 Newport Blvd, Suite 450, Costa Mesa, CA 92627-3786 | 2017-01-18 |
| 1770027518 | Uc Irvine Health Cancer Center- Newport | Clinic/Center | 1640 Newport Blvd, Suite 450, Costa Mesa, CA 92627-3786 | 2016-12-13 |
| 1861936601 | Pacific Cddc | Clinic/Center | 1640 Newport Blvd, Suite 350, Costa Mesa, CA 92627-3786 | 2016-12-13 |
| 1952845794 | Pacific Cddc | Clinic/Center | 1640 Newport Blvd, Suite 350, Costa Mesa, CA 92627-3786 | 2016-12-13 |
| 1942654439 | Uc Irvine Health Dermatology Services | Clinic/Center | 1640 Newport Blvd, Suite 240, Costa Mesa, CA 92627-3786 | 2016-04-20 |
| 1124402284 | Pacific Cddc | Clinic/Center | 1640 Newport Blvd, Suite 350, Costa Mesa, CA 92627-3786 | 2015-07-17 |
| 1518345255 | Uc Irvine Women's Health Care Center | Clinic/Center | 1640 Newport Blvd, Suite 340, Costa Mesa, CA 92627-3786 | 2015-05-14 |
| 1164800397 | Uc Irvine Women's Health Care Center | Clinic/Center | 1640 Newport Blvd, Suite 340, Costa Mesa, CA 92627-3786 | 2015-05-07 |
| 1073990495 | Orthopedic and Sports Medicine Center | Clinic/Center | 1640 Newport Blvd, Suite 230, Costa Mesa, CA 92627-3786 | 2015-05-05 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
Please comment or provide details below to improve the information on SHEA OPTOMETRIC CORPORATION.
| 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.