DR. ROBERT MORGAN HOMUTH (NPI# 1790832996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790832996 |
| Entity Type | Individual |
| Full Name | DR. ROBERT MORGAN HOMUTH |
| Credential | O.D. |
| Practice Address |
29315 Central Ave Lake Elsinore CA 92532-2212 |
| Practice Telephone | 9512536043 |
| Practice Fax Number | 9512536044 |
| Mailing Telephone | 9512536043 |
| Mailing Fax Number | 9512536044 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT 6458 T | CA | Eye and Vision Services Providers |
| Street Address |
29315 CENTRAL AVE |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92532-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912017567 | Costco Wholesale Corporation | Pharmacy | 29315 Central Ave, Lake Elsinore, CA 92532 | 2006-08-30 |
| 1104219369 | Costco Wholesale Corporation | Hearing Aid Equipment | 29315 Central Ave, Lake Elsinore, CA 92532-2212 | 2015-03-12 |
| 1710377858 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 29315 Central Ave, Lake Elsinore, CA 92532-2212 | 2015-01-28 |
| 1861743015 | Daniel Lee Little | Pharmacist | 29315 Central Ave, Lake Elsinore, CA 92532-2212 | 2012-09-27 |
| 1013282912 | Carlos Leslie Saenz | Pharmacist | 29315 Central Ave, Lake Elsinore, CA 92532-2212 | 2012-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817842 | The Social Work Action Group | Family Medicine | 28497 California 74 Suite 113, Lake Elsinore, CA 92532 | 2019-12-06 |
| 1720477235 | Skyler Jeffrey Liatti | Dentist | 29273 Central Ave Ste A, Lake Elsinore, CA 92532 | 2015-01-21 |
| 1386068310 | Michael D Boucher | Physician Assistant | 29997 Canyon Hills Rd Ste 1604, Lake Elsinore, CA 92532 | 2014-02-11 |
| 1902083595 | Joong Gu Han | Acupuncturist | 53116 Tropical Street, Lake Elsinore, CA 92532 | 2008-01-25 |
| 1063632123 | Taba Apostu & Apostu Professional Dental Corp | Dentist | 361 Railroad Canyon Rd, #a, Lake Elsinore, CA 92532 | 2007-04-30 |
| 1164584793 | Stephen Gerard Schroeder | Optometrist | 25321 Railroad Canyon Dr., #503, Lake Elsinore, CA 92532 | 2006-12-13 |
| 1194821041 | Derek B. Hauser | Dentist | 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532 | 2006-09-16 |
| 1952331217 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 29985 Canyon Hills Road, Lake Elsinore, CA 92532 | 2006-07-03 |
| 1467709642 | Matthew Randall Kanter | Dentist | 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532 | 2012-08-07 |
| 1104287754 | Linell Barretto | Physical Therapy Assistant | 31648 Boulder Vista Dr, Lake Elsinore, CA 92532-0109 | 2016-03-10 |
| Find all providers in zip 92532 | ||||
| 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 |
|---|---|---|---|---|
| 1588977938 | Tara Vacharkulksemsuk | Optometrist | 32245 Mission Trl Ste D4, Lake Elsinore, CA 92530-4528 | 2010-07-14 |
| 1710124573 | Lake Vision Optometry, Inc. | Optometrist | 25321 Railroad Canyon Rd Ste 503, Lake Elsinore, CA 92532-2702 | 2009-01-15 |
| 1740495183 | Thi Dong Buu | Optometrist | 25321 Railroad Canyon Rd, Suite 503, Lake Elsinore, CA 92532-2702 | 2007-05-11 |
| 1164584793 | Stephen Gerard Schroeder | Optometrist | 25321 Railroad Canyon Dr., #503, Lake Elsinore, CA 92532 | 2006-12-13 |
| 1679581094 | Quynh T Vu | Optometrist | 18285 Collier Ave Ste 1f, Lake Elsinore, CA 92530-2786 | 2006-08-03 |
| 1275585127 | Robert Joseph Joyce | Optometrist | 32245 Mission Trl, Ste D4, Lake Elsinore, CA 92530-4528 | 2006-05-17 |
| 1831651983 | Dr. Annie Le Od Inc | Optometrist | 31700 Grape St, Lake Elsinore, CA 92532-9785 | 2019-04-05 |
| 1679926646 | Michelle Cruz | Optometrist | 32245 Mission Trl Ste D4, Lake Elsinore, CA 92530-4528 | 2016-07-14 |
| 1124470042 | Danielle Leone | Optometrist | 32245 Mission Trl Ste D4, Lake Elsinore, CA 92530 | 2016-07-02 |
| 1134395585 | Robert J Joyce Od Apc | Optometrist | 32245 Mission Trl, Suite D4, Lake Elsinore, CA 92530-4528 | 2008-05-06 |
| Find all providers in LAKE ELSINORE | ||||
| City | LAKE ELSINORE |
| Zip Code | 92532 |
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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.