MISSION OPTOMETRIC CENTER
NPI 1083807010
Optometrist in San Juan Capistrano, CA

Active since August 23, 2007
31401 RANCHO VIEJO RD STE 103, SAN JUAN CAPISTRANO, CA 92675(949) 496-0552(949) 443-3794 Get Directions Write a Review

NPPES record last updated: August 23, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Optometrist

About MISSION OPTOMETRIC CENTER

This page provides the complete NPI Profile along with additional information for Mission Optometric Center, a provider established in San Juan Capistrano, California operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1083807010 assigned on August 2007. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Joseph Keith Kikumoto O.d. (Owner)

NPI
1083807010 Verify this NPI
Provider Name
MISSION OPTOMETRIC CENTER
Entity Type
Organization
Location Address
31401 RANCHO VIEJO RD STE 103 SAN JUAN CAPISTRANO, CA 92675
Location Phone
(949) 496-0552
Location Fax
(949) 443-3794
Mailing Address
31401 RANCHO VIEJO RD STE 103 SAN JUAN CAPISTRANO, CA 92675
Mailing Phone
(949) 496-0552
Mailing Fax
(949) 443-3794
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-23-2007
Last Update Date
08-23-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License State
CA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOSEPH KEITH KIKUMOTO O.D.

Authorized Official Title
OWNER
Authorized Official Phone
(949) 496-0552

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Optometrist
31401 RANCHO VIEJO RD STE 103
SAN JUAN CAPISTRANO, CA 92675
Optometrist
31401 RANCHO VIEJO RD STE 103
SAN JUAN CAPISTRANO, CA 92675

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083807010, enumerated as an "organization" on August 23, 2007.

The provider is located at 31401 RANCHO VIEJO RD STE 103 SAN JUAN CAPISTRANO, CA 92675 and the phone number is (949) 496-0552.

Optometrist with taxonomy code 152W00000X.