Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Custom Eyes Optometry, Inc

Organization Optometrist · NPI 1548472921

Custom Eyes Optometry, Inc is an Optometrist in Costa Mesa, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1835 Newport Blvd Ste A-111
Costa Mesa, CA 92627-5031
Phone: (949) 646-4949
Fax: (949) 646-2533
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 9870T (CA)

Record details

NPI number1548472921
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bourgoin — President · (949) 646-4949
NPI enumeratedMay 5, 2007
Last updated in NPPESMarch 24, 2015
Mailing address1835 Newport Blvd, Suite A-111, Costa Mesa, CA 92627-5031

Other providers in Costa Mesa