Dr Michael Paul Bourgoin, OD | |
1835 Newport Blvd, Suite A-111, Costa Mesa, CA 92627-5031 | |
(949) 646-4949 | |
(949) 646-2533 |
Full Name | Dr Michael Paul Bourgoin |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 32 Years |
Location | 1835 Newport Blvd, Costa Mesa, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720197361 | NPI | - | NPPES |
1548472921 | Other | CA | GROUP NPI |
9870T | Other | CA | CA OPTOMETRY LICENSE # |
WOP9870I | Other | CA | PPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 9870T (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Custom Eyes Optometry Inc | 8820008006 | 2 |
Provider Name | Custom Eyes Optometry Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548472921 PECOS PAC ID: 8820008006 Enrollment ID: O20060502000896 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Paul Bourgoin, OD 1835 Newport Blvd, Suite A-111, Costa Mesa, CA 92627-5031 Ph: (949) 646-4949 | Dr Michael Paul Bourgoin, OD 1835 Newport Blvd, Suite A-111, Costa Mesa, CA 92627-5031 Ph: (949) 646-4949 |
Dr. Benjamin J Szu, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3140 Bear St, Costa Mesa, CA 92626 Phone: 714-557-2020 | |
Dr. Kevin Michael Grant, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3140 Bear St, Costa Mesa, CA 92626 Phone: 714-557-2020 | |
Trilogy Eye Medical Group, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1640 Newport Blvd, 220, Costa Mesa, CA 92627 Phone: 949-873-5046 Fax: 949-873-5394 | |
Acuity Eye Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1640 Newport Blvd Ste 220, Costa Mesa, CA 92627 Phone: 949-876-5046 Fax: 949-573-5394 | |
Dr. Mimia Wen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2651 Irvine Ave Ste 120, Costa Mesa, CA 92627 Phone: 949-432-7894 Fax: 949-432-7880 | |
Dr. Jack Chia Shea, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2200 Harbor Blvd, Ste D130, Costa Mesa, CA 92627 Phone: 949-642-7882 Fax: 949-642-7792 | |
Dr. Neda Khadem, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1545 Nutmeg Pl, Costa Mesa, CA 92626 Phone: 714-435-1150 Fax: 714-435-1250 |