| 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 | 33 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 | |
Retina Institute Of California Medical Group, A California Medical Par 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: Medicare Enrolled 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: Medicare Enrolled Practice Location: 2200 Harbor Blvd, Ste D130, Costa Mesa, CA 92627 Phone: 949-642-7882 Fax: 949-642-7792 | |
My Linh Ton-nu, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1640 Newport Blvd Ste 220, Costa Mesa, CA 92627 Phone: 714-951-3297 |