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PENINSULA PROFESSIONAL SERVICES
NPI 1023981859
Optometrist in Huntington Beach, CA

Active since September 26, 2025
21200 BEACH BLVD, HUNTINGTON BEACH, CA 92648(714) 374-2626 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peninsula Professional Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENINSULA PROFESSIONAL SERVICES (NPI 1023981859) is a healthcare organization registered as an optometrist in Huntington Beach, California and active in the NPI registry since September 2025. The organization lists Jack Ibrahim, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1023981859
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePENINSULA PROFESSIONAL SERVICES
Location Address21200 BEACH BLVDHuntington Beach, CA 92648-5411
Mailing Address21200 Beach BlvdHuntington Beach, CA 92648-5411 · (714) 374-2626
Phone(714) 374-2626
Organization SubpartNo
Authorized OfficialJack IbrahimOptometrist · (909) 919-6044
Enumeration DateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
✔ NPI 1023981859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
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.
21200 BEACH BLVD, Huntington Beach, CA 92648
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUYNH HOA THI TRUONG O.D.
Optometrist
21200 BEACH BLVD
HUNTINGTON BEACH, CA 92648
Orange County (714) 374-2626
LILLIAN TRUONG OD
Optometrist
21200 BEACH BLVD
HUNTINGTON BEACH, CA 92648
Orange County (714) 374-2626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peninsula Professional Services's NPI number?

The NPI number for Peninsula Professional Services is 1023981859. It was assigned to this organization in the NPPES registry on September 26, 2025.

Where is Peninsula Professional Services located?

Peninsula Professional Services is located at 21200 Beach Blvd, Huntington Beach, CA 92648. The listed phone number is (714) 374-2626.

What is Peninsula Professional Services's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Peninsula Professional Services was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.