Custom Eyes Optometry, Inc.

NPI #1548472921 in Costa Mesa, California

Provider Information

NPI Number: 1548472921
Entity Type: Organization
Organization Name: Custom Eyes Optometry, Inc.
Primary Specialty: Optometrist
Enumeration Date: May 5, 2007
Last Updated: Mar 24, 2015

Practice Location

Address: 1835 NEWPORT BLVD
Address 2: SUITE A-111
City: Costa Mesa
State: California
ZIP Code: 92627-5031
Phone: (949) 646-4949

Authorized Official

Name: DR. MICHAEL PAUL BOURGOIN, O.D.
Title: PRESIDENT
Phone: (949) 646-4949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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