OPTICA -SOUTH COAST PLAZA
NPI 1811484017
Eyewear Supplier in Costa Mesa, CA

Active since April 13, 2018
3333 BRISTOL ST STE 1613, COSTA MESA, CA 92626(714) 662-1222(714) 662-1326 Get Directions Write a Review

NPPES record last updated: April 13, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Eyewear Supplier

About OPTICA -SOUTH COAST PLAZA

This page provides the complete NPI Profile along with additional information for Optica -south Coast Plaza, a provider established in Costa Mesa, California operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1811484017 assigned on April 2018. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Optica -south Coast Plaza. The authorized official of this NPI record is Nicholas Shashati (Director)

NPI
1811484017 Verify this NPI
Provider Legal Name
EMERGING VISION INC
Other Organization Name
OPTICA -SOUTH COAST PLAZA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3333 BRISTOL ST STE 1613 COSTA MESA, CA 92626
Location Phone
(714) 662-1222
Location Fax
(714) 662-1326
Mailing Address
520 8TH AVE FL 23 NEW YORK, NY 10018
Mailing Phone
(858) 414-3513
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-13-2018
Last Update Date
04-13-2018
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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

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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

NICHOLAS SHASHATI

Authorized Official Title
DIRECTOR
Authorized Official Phone
(858) 414-3513

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811484017, enumerated as an "organization" on April 13, 2018.

The provider is located at 3333 BRISTOL ST STE 1613 COSTA MESA, CA 92626 and the phone number is (714) 662-1222.

Eyewear Supplier with taxonomy code 332H00000X.