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

Individual provider Optometrist · NPI 1063437507

Charles E Dominguez, OD is an Optometry in Lake Forest, California. Graduated from University of California, Geffen School of Medicine in 2003, 23 years ago. Practices with Dominguez Alderson Optometric Inc, a 2-clinician group. Licensed in California.

Years since qualifying
23
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

21098 Bake Pkwy Ste 110
Lake Forest, CA 92630-2163
Phone: (949) 597-0104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT 12292 TPA (CA)

Record details

NPI number1063437507
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESOctober 15, 2014
Mailing address21098 Bake Pkwy, Suite 110, Lake Forest, CA 92630-2163

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Dominguez Alderson Optometric Inc — 2 clinicians
Accepts Medicare assignment Not indicated

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