17Th Street Optometry Apc

LBN: 17Th Street Optometry Apc
17Th Street Optometry Apc is an health care organization with primary practice located at 17400 Irvine Blvd Ste N , Tustin CA 92780-3030. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is the primary health care specialty. 17Th Street Optometry Apc can be contacted via phone (714) 838-9664, or through Elson, Alexander via phone (949) 338-7027.

Contact Information

Primary practice address
17400 Irvine Blvd Ste N Tustin CA 92780-3030
Phone: (714) 838-9664
Fax: (714) 838-6774
Website:
Map and Directions
Authorized official contact:
Name: Elson, Alexander Doctor of Optometry (OD)
Phone: (949) 338-7027

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X
Eye and Vision Services Providers / Pediatrics 152WP0200X
Eye and Vision Services Providers / Occupational Vision 152WX0102X

Profile Details

NPI number 1891268678
LBN Legal business name 17Th Street Optometry Apc
DBA Doing business as
Authorized official Elson, Alexander Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2019
Last updated Jul 15th, 2026 - about 3 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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