Custom Eyes Optometry, Inc. is a Optometrist Center in Costa Mesa, California. It is situated at 1835 Newport Blvd, Suite A-111, Costa Mesa and its contact number is 949-646-4949. The authorized person of Custom Eyes Optometry, Inc. is Dr. Michael Paul Bourgoin
who is President of the clinic and their contact number is 949-646-4949. Primary license number for Custom Eyes Optometry, Inc. is 9870T (Optometrist) in California.
Custom Eyes Optometry, Inc. Center have optometrists who can examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Center Profile:
Custom Eyes Optometry, Inc. Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
| Specialization: | Optometry |
| Clinic Address: | 1835 Newport Blvd, Suite A-111, Costa Mesa,
California, 92627-5031 |
| Phone: | 949-646-4949 |
| Fax: | 949-646-2533 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Michael Paul Bourgoin |
| Position: | President |
| Contact Number: | 949-646-4949 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Custom Eyes Optometry, Inc. Center are as mentioned below.
| NPI Number: | 1548472921 |
| NPI Enumeration Date: | 05 May, 2007 |
| NPI Last Update On: | 24 Mar, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Custom Eyes Optometry, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Optometrist | 9870T | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1720197361 | Other | California | Individual Npi |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Custom Eyes Optometry, Inc.
1835 Newport Blvd, Suite A-111
Costa Mesa, California |
| Zip: | 92627-5031 |
| Phone Number: | 949-646-4949 |
| Fax Number: | 949-646-2533 |
Patients can reach Custom Eyes Optometry, Inc. at
1835 Newport Blvd, Suite A-111, Costa Mesa, California or can
call to book an appointment on 949-646-4949.
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.