MEDICARE: MAIN STREET OPTOMETRY

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	152W00000X	Optometrist	13286	CA

General Provider Information

NPI Number	:	1326215492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAIN STREET OPTOMETRY

Provider Business Mailing Address
First Line	:	1509 N MAIN ST
Second Line	:	SUITE J
City	:	SANTA ANA
State	:	CA
Zip	:	92701-7418
Country	:	US
Telephone Number	:	714-542-2226
Fax Number	:

Provider Business Practice Location Address
First Line	:	1509 N MAIN ST
Second Line	:	SUITE J
City	:	SANTA ANA
State	:	CA
Zip	:	92701-7418
Country	:	US
Telephone Number	:	714-542-2226
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	BRYANT L VO
Credential	:	OD
Telephone Number	:	714-542-2226

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	05/18/2009

Similar Medicare Providers

1902353238 — LOI THANH MAI O.D.
Practice Location Address:

1509 N MAIN ST STE J
SANTA ANA, CA
92701-7418

Practice Phone: 714-542-2226
Practice Fax: 714-550-7254

1225786247 — RANI CHITHRA JOHN
Practice Location Address:

2549 ELLEN LN
SANTA MARIA, CA
93455-7418

Practice Phone: 805-598-9555
Practice Fax:

1053145359 — KRISTINE ATIENZA
Practice Location Address:

1207 E FRUIT ST
SANTA ANA, CA
92701-4296

Practice Phone: 714-953-9373
Practice Fax:

1023750148 — YANETE DIAZ
Practice Location Address:

600 W SANTA ANA BLVD STE 600
SANTA ANA, CA
92701-4552

Practice Phone: 714-953-4455
Practice Fax:

1447035522 — KASSANDRA ANGELA MONTES
Practice Location Address:

405 W 5TH ST
SANTA ANA, CA
92701-4599

Practice Phone: 714-975-1604
Practice Fax:

1235789355 — THOMAS GILLIAM
Practice Location Address:

615 W CIVIC CENTER DR
SANTA ANA, CA
92701-4006

Practice Phone: 714-795-3444
Practice Fax: 714-795-3443

Directions to “MAIN STREET OPTOMETRY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.