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Custom Eyes Optometry, Inc.

Optometrist in Costa Mesa, CA · enumerated 2007 · authorized official Michael Bourgoin, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1548472921

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Registry record

Entity type Organization (Type 2)
Legal business name Custom Eyes Optometry, Inc.
Practice address 1835 Newport Blvd, Suite A-111, Costa Mesa, CA, 92627
Fax (949) 646-2533
Enumeration date May 5, 2007
Last updated in NPPES Mar 24, 2015

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 9870T (CA) Primary

Authorized official

Name Michael Bourgoin
Title President

Other identifiers

Identifier Type State Issuer
1720197361 Other CA INDIVIDUAL NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Custom Eyes Optometry, Inc.?
NPPES lists Michael Bourgoin (President) as the authorized official for this organization.
What is the NPI number for Custom Eyes Optometry, Inc.?
The NPI for Custom Eyes Optometry, Inc. is 1548472921, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-24.