DR. BONNIE LAUREN SAMUELSON (NPI# 1073139291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073139291 |
| Entity Type | Individual |
| Full Name | DR. BONNIE LAUREN SAMUELSON |
| Credential | OD |
| Practice Address |
21161 Newport Coast Dr Newport Beach CA 92657-1123 |
| Mailing Address |
9862 Kings Canyon Dr Huntington Beach CA 92646-4829 |
| Practice Telephone | 9496404733 |
| Practice Fax Number | 9492870186 |
| Mailing Telephone | 7147459312 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 34540 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962432658 | Bonnie M Samuelson | Emergency Medicine | 2720 Plaza Dr, Suite 1100, Wausau, WI 54401-4158 | 2006-07-05 |
| Street Address |
21161 NEWPORT COAST DR |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92657-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710351200 | Shiva Rouhani | Acupuncturist | 409 White Cap Lane, Newport Coast, CA 92657 | 2015-11-20 |
| 1952777377 | Andrew Tri-anh Gia Dinh | Dentist | 5 Hidden Pass, Newport Coast, CA 92657 | 2015-08-19 |
| 1801055876 | Konstantinos Tsamoutalidis | Chiropractor | 21139 Newport Coast Dr, Newport Beach, CA 92657 | 2008-06-05 |
| 1306950340 | Tracy Nicole Dds A Professional Dental Corporation | Dentist | 330 Park Ave, Suite 1, Laguna Beach, CA 92657 | 2006-08-18 |
| 1245766906 | Daniel Bui | Student in an Organized Health Care Education/Training Program | 10 Bandol, Newport Coast, CA 92657-0136 | 2017-05-02 |
| 1346568326 | Nazy Morshed | Dentist | 22 Nerval, Newport Coast, CA 92657-0138 | 2010-05-14 |
| 1669825568 | Meaghan Frances Beaudoin | Specialist/Technologist | 20402 Newport Coast Dr, Newport Coast, CA 92657-0300 | 2016-07-15 |
| 1992954481 | Thomas Tan Tri Le | Internal Medicine | 12 Chaminade, Newport Coast, CA 92657-1003 | 2008-09-09 |
| 1417135609 | Elmira Elahi | Dentist | 8 Giverny, Newport Coast, CA 92657-1006 | 2008-02-10 |
| 1306913645 | Monique Le, M.d., Inc. | General Practice | 64 Bridgeport Rd, Newport Coast, CA 92657-1013 | 2006-11-30 |
| Find all providers in zip 92657 | ||||
| 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 |
|---|---|---|---|---|
| 1366054843 | Chari Lou Martinez | Optometrist | 360 San Miguel Dr Ste 307, Newport Beach, CA 92660-7829 | 2020-08-18 |
| 1275197519 | Annabelle Storch | Optometrist | 421 Seville Ave, Newport Beach, CA 92661-1528 | 2019-04-23 |
| 1689170664 | Lisa Van | Optometrist | 4220 Von Karman Ave Ste 100, Newport Beach, CA 92660-2056 | 2018-03-30 |
| 1871946244 | Tanya Lau | Optometrist | 320 Superior Ave Ste 390, Newport Beach, CA 92663-2793 | 2016-07-20 |
| 1861832180 | Linda Mai Bui | Optometrist | 1063 Newport Center Dr, Newport Beach, CA 92660 | 2013-07-01 |
| 1043552821 | See Inc | Optometrist | 213 Newport Center Dr, Newport Beach, CA 92660-6934 | 2013-03-20 |
| 1205196193 | Lou Roy Elder, O.d., Inc. | Optometrist | 1725 Westcliff Dr, Newport Beach, CA 92660-5529 | 2012-05-24 |
| 1386954071 | Adr Optometric Group | Optometrist | 7886 E Coast Hwy, Newport Beach, CA 92657-2138 | 2010-10-14 |
| 1053549220 | Shruti Pasari | Optometrist | 563 Newport Center Dr, Newport Beach, CA 92660-6937 | 2009-06-26 |
| 1720278575 | Yau-ru Chen | Optometrist | 3417 Via Lido, Newport Beach, CA 92663-3908 | 2007-07-27 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92657 |
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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.