DR. JEAN YOO-BOURGOIN O.D.
NPI 1457495913
Optometrist in Costa Mesa, CA

Q: What is Jean Yoo-bourgoin's NPI number?

The NPI number for Jean Yoo-bourgoin is 1457495913. It was assigned to this individual provider in the NPPES registry on February 17, 2007. The provider is also known as Dr. Jean Yoo O.D..

Q: What is Jean Yoo-bourgoin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jean Yoo-bourgoin was last updated on September 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since February 17, 2007PECOS EnrolledAccepts Medicare Assignment

1835 NEWPORT BLVD, STE E270, COSTA MESA, CA 92627(949) 646-4949(949) 646-2533 Get Directions Write a Review

NPPES record last updated: September 19, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Jean Yoo-bourgoin O.d. NPPES

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

DR. JEAN YOO-BOURGOIN O.D. (NPI 1457495913) is an individual optometrist in Costa Mesa, California, licensed in California (10185T) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (1993).

NPPES Registry Identity

NPI1457495913

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. JEAN YOO-BOURGOINCredential: O.D.

Location Address1835 NEWPORT BLVD, STE E270Costa Mesa, CA 92627-5014

Mailing Address1835 Newport Blvd, Ste E270Costa Mesa, CA 92627 · (949) 646-4949 · Fax (949) 646-2533

Phone(949) 646-4949

Fax(949) 646-2533

Sole ProprietorNo

Medical School CMSUniversity Of California - School Of OptometryGraduated 1993

Enumeration DateFebruary 17, 2007

Last NPPES UpdateSeptember 19, 2017

✔ NPI 1457495913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 10185T

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.

1835 NEWPORT BLVD, Costa Mesa, CA 92627

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Other Names 1

Professional Name (2)Dr. Jean Yoo O.d.

Other Identifiers 1

Other1548472921CA · Group Npi (type 2)

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 Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jean Yoo-bourgoin O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264697051

PECOS Enrollment IDI20120628000490

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jean Yoo-bourgoin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Custom Eyes Optometry, Inc.

Same address

Optometrist

1835 NEWPORT BLVD, SUITE A-111
Costa Mesa, CA 92627

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1548472921 (949) 646-4949

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92627 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

HEALTH ATLAST COSTA MESA

General Practice

1835 NEWPORT BLVD, SUITE D251
COSTA MESA, CA 92627

Orange County (949) 515-4006

DAVID BENNETT

Chiropractor

1835 NEWPORT BLVD, #A109-161
COSTA MESA, CA 92627

Orange County (949) 548-1976

HEALTH AT LAST COSTA MESA, INC

Non-Pharmacy Dispensing Site

1835 NEWPORT BLVD, SUITE D251
COSTA MESA, CA 92627

Orange County (949) 515-4006

CUSTOM EYES OPTOMETRY, INC.

Optometrist

1835 NEWPORT BLVD, SUITE A-111
COSTA MESA, CA 92627

Orange County (949) 646-4949

DR. MICHAEL PAUL BOURGOIN O.D.

Optometrist

1835 NEWPORT BLVD, SUITE A-111
COSTA MESA, CA 92627

Orange County (949) 646-4949

CHRISTINA STAMM D.C. INC

Chiropractor

1835 NEWPORT BLVD, D251
COSTA MESA, CA 92627

Orange County (949) 515-4006

GARFIELD BEACH CVS LLC

Pharmacy

1835 NEWPORT BLVD
COSTA MESA, CA 92627

Orange County (949) 722-1750

TONYA LYNN PETERS-KAMMERAAD L.C.S.W., NCPSYA

Social Worker (Clinical)

1835 NEWPORT BLVD, SUITE A109-PMB165
COSTA MESA, CA 92627

Orange County (310) 359-8972

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 Jean Yoo-bourgoin's NPI number?

The NPI number for Jean Yoo-bourgoin is 1457495913. It was assigned to this individual provider in the NPPES registry on February 17, 2007. The provider is also known as Dr. Jean Yoo O.D..

Where is Jean Yoo-bourgoin located?

Jean Yoo-bourgoin practices at 1835 Newport Blvd Ste E270, Costa Mesa, CA 92627. The listed phone number is (949) 646-4949.

What is Jean Yoo-bourgoin's specialty?

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

Is Jean Yoo-bourgoin enrolled in Medicare?

Yes. Jean Yoo-bourgoin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jean Yoo-bourgoin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jean Yoo-bourgoin reassigns Medicare benefits to Custom Eyes Optometry, Inc. (Costa Mesa, CA). The 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 Jean Yoo-bourgoin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jean Yoo-bourgoin accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Jean Yoo-bourgoin 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 Jean Yoo-bourgoin was last updated on September 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.