MISSION OPTOMETRIC CENTER
NPI 1336787043
Optometrist in San Juan Capistrano, CA

Q: What is Jimmy Quang Od Inc's NPI number?

The NPI number for Jimmy Quang Od Inc is 1336787043. It was assigned to this organization in the NPPES registry on December 12, 2019. The provider is doing business as Mission Optometric Center.

Q: What is Jimmy Quang Od Inc's specialty?

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

Active since December 12, 2019

31401 RANCHO VIEJO RD STE 103, SAN JUAN CAPISTRANO, CA 92675(949) 443-3794(949) 443-3828 Get Directions Write a Review

NPPES record last updated: September 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 7, 2024, Aug 16, 2024, Dec 12, 2019 (3 updates tracked since 2019).

On this page

About Mission Optometric Center NPPES

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

MISSION OPTOMETRIC CENTER (NPI 1336787043) is a healthcare organization registered as an optometrist in San Juan Capistrano, California and active in the NPI registry since December 2019. The organization maintains a secondary practice location in Mission Viejo and lists Jimmy Quang, President, as its authorized official.

NPPES Registry Identity

NPI1336787043

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameJIMMY QUANG OD INC

Location Address31401 RANCHO VIEJO RD STE 103San Juan Capistrano, CA 92675-1850

Mailing Address31401 Rancho Viejo Rd Ste 103San Juan Capistrano, CA 92675-1850 · (510) 637-9987 · Fax (949) 443-3828

Phone(949) 443-3794

Fax(949) 443-3828

Organization SubpartNo

Authorized OfficialJimmy QuangPresident · (510) 637-9987

Enumeration DateDecember 12, 2019

Last NPPES UpdateSeptember 7, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2024

✔ NPI 1336787043 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.

31401 RANCHO VIEJO RD STE 103, San Juan Capistrano, CA 92675

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Other Names 1

Doing Business AsMission Optometric Center

Secondary Practice Location 1

Location 127725 Santa Margarita Pkwy Ste 131Mission Viejo, CA 92691-6706 · Phone (949) 770-8505

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mission Optometric Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mission Optometric Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jimmy Quang, OD

Optometry

NPI 1932655164

31401 RANCHO VIEJO RD STE 103
San Juan Capistrano, CA 92675

(949) 443-3794

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jimmy Quang Od Inc's NPI number?

The NPI number for Jimmy Quang Od Inc is 1336787043. It was assigned to this organization in the NPPES registry on December 12, 2019. The provider is doing business as Mission Optometric Center.

Where is Jimmy Quang Od Inc located?

Jimmy Quang Od Inc is located at 31401 Rancho Viejo Rd Ste 103, San Juan Capistrano, CA 92675. The listed phone number is (949) 443-3794.

What is Jimmy Quang Od Inc's specialty?

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

Is Jimmy Quang Od Inc enrolled in Medicare?

Yes. Jimmy Quang Od Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jimmy Quang Od Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Jimmy Quang Od Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jimmy Quang Od Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Jimmy Quang Od Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jimmy Quang Od Inc was last updated on September 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.