KIMBERLY MICHEL (NPI# 1104181460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104181460 |
| Entity Type | Individual |
| Full Name | KIMBERLY MICHEL |
| Credential | OD |
| Practice Address |
1755 Hacienda Dr Vista CA 92081-4546 |
| Practice Telephone | 7606310654 |
| Practice Fax Number | 7606310621 |
| Mailing Telephone | 7606310654 |
| Mailing Fax Number | 7606310621 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 14463 | CA | Eye and Vision Services Providers |
| Street Address |
1755 HACIENDA DR |
| City | VISTA |
| State | CA |
| Zip Code | 92081-4546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609986207 | Costco Wholesale Corporation | Pharmacy | 1755 Hacienda Dr, Vista, CA 92081 | 2006-08-30 |
| 1205454386 | Kimberly A. Michel, O.d., A Professional Corporation | Optometrist | 1755 Hacienda Dr, Vista, CA 92081-4546 | 2020-07-06 |
| 1790137529 | Michael Tran | Optometrist | 1755 Hacienda Dr, Vista, CA 92081-4546 | 2016-07-05 |
| 1316330954 | Costco Wholesale Corporation | Hearing Aid Equipment | 1755 Hacienda Dr, Vista, CA 92081-4546 | 2015-03-06 |
| 1447640586 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1755 Hacienda Dr, Vista, CA 92081-4546 | 2015-01-28 |
| 1104191840 | Patricia Jay Baca | Pharmacist | 1755 Hacienda Dr, Vista, CA 92081-4546 | 2012-03-13 |
| 1124328612 | Lynne Eldon Drake | Pharmacist | 1755 Hacienda Dr, Vista, CA 92081-4546 | 2010-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896202 | Maritza Mercado | Behavior Technician | 1926 Civic Center Dr Suite B, Vista, CA 92081 | 2020-03-13 |
| 1417599267 | Cherelle Artise Lewis | Behavior Technician | 1926 Via Centre Drive, Suite B, Vista, CA 92081 | 2019-10-14 |
| 1194101295 | Mary Stewart | Physical Therapist | 1515 S Melrose Dr, Vista, CA 92081 | 2015-07-31 |
| 1184069122 | Houri Fatourachi, Dds Inc | Dentist | 2325 S Melrose Dr., Vista, CA 92081 | 2013-05-03 |
| 1821377037 | Mori Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2320 La Mirada Dr, Vista, CA 92081 | 2011-08-05 |
| 1497068563 | Gerald Francis Moore | Dentist | 610 S. Melrose Dr, Vista, CA 92081 | 2010-07-19 |
| 1316274749 | Mahtab Saadatmandi | Dentist | 2311 S. Melrose Dr., Vista, CA 92081 | 2009-11-05 |
| 1760650808 | Edward George Dougherty | Occupational Therapy Assistant | 1579 Wellington Lane, 51, Vista, CA 92081 | 2008-02-12 |
| 1831398676 | Longs Drug Stores California LLC | Pharmacy | 635 S Melrose Dr, Vista, CA 92081 | 2007-07-12 |
| 1346462231 | Houri Fatourachi | Dentist | 2325 South Melrose Drive, Vista, CA 92081 | 2007-05-02 |
| Find all providers in zip 92081 | ||||
| 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 |
|---|---|---|---|---|
| 1184113334 | Daniel & Max, LLC | Optometrist | 898 E Vista Way, Vista, CA 92084-5239 | 2018-05-03 |
| 1518190123 | Windy Chen | Optometrist | 1811 University Dr, Vista, CA 92083-7774 | 2009-08-30 |
| 1689819179 | Family Eye Health | Optometrist | 640 Escondido Ave Ste 114, Vista, CA 92084-6166 | 2008-12-11 |
| 1497927024 | Richard Michael Rodriguez | Optometrist | 1755 Hacienda Drive, Vista, CA 92083 | 2008-03-24 |
| 1780701193 | Vista Optometric Center | Optometrist | 217 Escondido Ave Ste 1, Vista, CA 92084-6170 | 2007-03-23 |
| 1538296322 | Christine H Truong | Optometrist | 780 Shadowridge Dr., Vista, CA 92083 | 2007-02-27 |
| 1982769246 | Daniel E Goldboss | Optometrist | 1811 University Dr Ste 102, Vista, CA 92083-7774 | 2006-12-27 |
| 1508932518 | Glenn Morris Demlinger | Optometrist | 741 Shadowridge Dr, Vista, CA 92083-7997 | 2006-11-28 |
| 1356414551 | Bruce D George | Optometrist | 931 Anza Ave Ste B, Vista, CA 92084-4531 | 2006-11-16 |
| 1629148515 | Khin-poh Oscar Chung | Optometrist | 217 Escondido Ave, Suite 1, Vista, CA 92084-6170 | 2006-11-08 |
| Find all providers in VISTA | ||||
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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.