Provider Demographics
NPI:1508919200
Name:O.C. OPTOMETRIC GROUP INC.
Entity Type:Organization
Organization Name:O.C. OPTOMETRIC GROUP INC.
Other - Org Name:ORANGE COUNTY OPTOMETRIC GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:OCCHIPINTI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:714-776-2020
Mailing Address - Street 1:10502 KATELLA AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-6528
Mailing Address - Country:US
Mailing Address - Phone:714-776-2020
Mailing Address - Fax:714-776-1618
Practice Address - Street 1:10502 KATELLA AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-6528
Practice Address - Country:US
Practice Address - Phone:714-776-2020
Practice Address - Fax:714-776-1618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9327T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty