Custom Eyes Optometry, Inc.
NPI 1548472921 · Optometrist · Costa Mesa, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Custom Eyes Optometry, Inc. is a Optometrist organization in Costa Mesa, CA (NPI 1548472921).
Provider details
- NPI number
- 1548472921
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Michael Bourgoin, President(949) 646-4949
- License
- 9870T (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-05
- Last updated
- 2015-03-24
Frequently asked questions
- What is Custom Eyes Optometry, Inc.'s NPI number?
- Custom Eyes Optometry, Inc.'s National Provider Identifier (NPI) is 1548472921, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Eyes Optometry, Inc.?
- Custom Eyes Optometry, Inc. is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Custom Eyes Optometry, Inc. located?
- Custom Eyes Optometry, Inc.'s practice location on file with NPPES is 1835 Newport Blvd, Costa Mesa, CA 92627-5031.
- What is Custom Eyes Optometry, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Custom Eyes Optometry, Inc. is (949) 646-4949.
- Does Custom Eyes Optometry, Inc. accept Medicare?
- Custom Eyes Optometry, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Custom Eyes Optometry, Inc.?
- The authorized official listed on Custom Eyes Optometry, Inc.'s NPPES record is Michael Bourgoin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Eyes Optometry, Inc.'s NPI active?
- Yes — Custom Eyes Optometry, Inc.'s NPI (1548472921) is active in the NPPES registry as of the last update on 2015-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.