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

Dr. Michael Paul Bourgoin, OD

Individual provider Optometrist · NPI 1720197361

Dr. Michael Paul Bourgoin, OD is an Optometry in Costa Mesa, California. Qualified in 1992, 34 years ago. Practices with Custom Eyes Optometry Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
34
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

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 number1720197361
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESNovember 2, 2007
Mailing address1835 Newport Blvd, Suite A-111, Costa Mesa, CA 92627-5031

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Custom Eyes Optometry Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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