| Organization Name: | SIEMS ADVANCED LASIK AND EYE CENTERS |
| NPI Number: | 1023238953 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICKIE ELPUSAN (OPHTHALMIC TECHNICIAN) |
| Mailing Address: | 2121 E Coast Hwy Ste 200 Corona Del Mar |
| State: | CA US |
| Postal Code: | 926251931 |
| Phone Number: | 9497182010 |
| Fax Number: | 9497182011 |
| NPI Enumeration Date: | 04/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 8933T |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |