MEDICARE: ALEXANDER ROMERO O.D. & LY NGUYEN O.D.,INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932779741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDER ROMERO O.D. & LY NGUYEN O.D.,INC.

Provider Business Mailing Address
First Line	:	227 E CHAPMAN AVE STE C
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92866-1534
Country	:	US
Telephone Number	:	714-538-6424
Fax Number	:	714-532-1318

Provider Business Practice Location Address
First Line	:	227 E CHAPMAN AVE STE C
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92866-1534
Country	:	US
Telephone Number	:	714-538-6424
Fax Number	:	714-532-1318

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALEXANDER ROMERO
Credential	:	OD
Telephone Number	:	714-538-6424

Provider Enumeration Date	:	06/25/2021
Last Update Date	:	06/25/2021

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