MAGGIE JAN (NPI# 1962824391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962824391 |
Entity Type | Individual |
Full Name | MAGGIE JAN |
Practice Address |
2443 E Chapman Ave Fullerton CA 92831-3603 |
Practice Telephone | 7145555555 |
Enumeration Date | 2014-01-21 |
Last Update Date | 2018-08-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 152W00000X | Optometrist | 14641TLG | CA | Eye and Vision Services Providers |
N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
14641TLG | CA | Eye and Vision Services Providers |
Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
14641TLG | CA | Eye and Vision Services Providers |
N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
14641TLG | CA | Eye and Vision Services Providers |
Address | Telephone Number | Fax Number |
---|---|---|
8521 Monticello Ave, Buena Park, CA 90621 | 7149896526 |
Street Address |
2443 E CHAPMAN AVE |
City | FULLERTON |
State | CA |
Zip Code | 92831-3603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144852096 | Ray Favela | Technician/Technologist | 2443 E Chapman Ave, Fullerton, CA 92831-3603 | 2020-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
Find all providers in zip 92831 |
Taxonomy Code | 152WL0500X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Low Vision Rehabilitation |
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487067559 | Rachelle Jessica Lin | Optometrist | 2575 Yorba Linda Blvd, Fullerton, CA 92831 | 2014-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447804844 | Vista Center for The Blind and Visually Impaired | Optometrist | 101 N Bascom Ave, San Jose, CA 95128-1805 | 2019-07-24 |
1316260052 | The Center for The Partially Sighted | Optometrist | 18425 Burbank Blvd Ste 706, Tarzana, CA 91356-6668 | 2010-03-09 |
1891027272 | Richard Jeffrey Shuldiner | Optometrist | 761 Payette Dr, Corona, CA 92881-8494 | 2010-02-09 |
1013249986 | Earle Baum Center of The Blind Inc. | Optometrist | 4539 Occidental Rd, Santa Rosa, CA 95401-5635 | 2010-02-03 |
1154589331 | Eden Plaza Optometry | Optometrist | 3555 Rosecrans St Ste 102, San Diego, CA 92110-3232 | 2008-05-24 |
1104008382 | Dana Linnea Rawlings | Optometrist | 1000 Lakes Dr Ste 180, West Covina, CA 91790-2927 | 2007-11-29 |
1841333192 | Lise Kim Tong | Optometrist | 958 Moraga Rd, Lafayette, CA 94549-4525 | 2007-02-15 |
1114064664 | Robert Bruce Greer | Optometrist | 360 Minor Hall, University of California, Berkeley, CA 94720-2020 | 2007-01-31 |
1669528089 | Thanh Kien Truong | Optometrist | 3443 Balboa St Ste B, San Francisco, CA 94121-2701 | 2007-01-26 |
1346305869 | Nina Coleen Getz | Optometrist | 301 W Huntington Dr Ste 605, Arcadia, CA 91007-1514 | 2006-12-26 |
Find all providers with the same taxonomy |
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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.