BEACHSIDE OPTOMETRY INC.
NPI 1508076233
Optometrist in Huntington Beach, CA

Q: What is Beachside Optometry Inc.'s NPI number?

The NPI number for Beachside Optometry Inc. is 1508076233. It was assigned to this organization in the NPPES registry on May 23, 2007.

Q: What is Beachside Optometry Inc.'s specialty?

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

Active since May 23, 2007

10088 ADAMS AVE, HUNTINGTON BEACH, CA 92646(714) 962-9377 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Beachside Optometry Inc. NPPES

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

BEACHSIDE OPTOMETRY INC. (NPI 1508076233) is a healthcare organization registered as an optometrist in Huntington Beach, California and active in the NPI registry since May 2007. The organization lists Kevin John Germundsen, President, as its authorized official.

NPPES Registry Identity

NPI1508076233

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameBEACHSIDE OPTOMETRY INC.

Location Address10088 ADAMS AVEHuntington Beach, CA 92646-4905

Mailing Address10088 Adams AveHuntington Beach, CA 92646-4905 · (714) 962-9377

Phone(714) 962-9377

Organization SubpartNo

Authorized OfficialKevin John GermundsenPresident · (714) 962-9377

Enumeration DateMay 23, 2007

Last NPPES UpdateApril 10, 2008

✔ NPI 1508076233 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 · 8977T

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.

10088 ADAMS AVE, Huntington Beach, CA 92646

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Other Identifiers 1

Medicare PINWY161CA

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 BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beachside Optometry Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20040329000515Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Beachside Optometry Inc., which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.