Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES E DOMINGUEZ, O.D.
ActiveCHARLES E DOMINGUEZ, O.D. is a Optometrist healthcare provider located in LAKE FOREST, California. NPI 1063437507 is currently active in the NPPES registry. Verify at CMS.
Optometrist · LAKE FOREST, CA
Registration Details
- NPI Number
- 1063437507
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2006 (19.907260868942 yrs)
- Last Updated
- Oct 15, 2014
- License
-
OPT 12292 TPA (CA)
Practice Information
- Address
-
21098 BAKE PKWYSUITE 110LAKE FOREST, CA, 926302163Browse CA providers · Browse ZIP 92630
- Phone
- 9495970104
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in LAKE FOREST, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JON DENNIS MORRISON | OD | 1306817846 |
| DR. JACQUELINE MARIE CULLINANE | OD | 1689645046 |
| DR. OMID KHODAI | O.D. | 1134197742 |
| JUSTIN B MICHAELS | O.D | 1174576904 |
| DR. RICHARD A KIDDER | OPTOMETRIST | 1629155924 |
| CHERYL EVELYN ALDERSON | O.D. | 1366521809 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.