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

Miss. Tierra Ilicia Leigh Grubbs, ABOC, FNAO

Individual provider Optician · NPI 1164889424

Miss. Tierra Ilicia Leigh Grubbs, ABOC, FNAO is an Optician in Costa Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

575 Anton Blvd Fl 3
Costa Mesa, CA 92626-7169
Phone: (562) 313-5202
Show map & directions

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

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence SL40306 (CA)
Optician Taxonomy 156FX1800X · Licence D70604 (CA)

Record details

NPI number1164889424
Entity typeIndividual (Type 1)
GenderFemale
Credentials ABOC , FNAO
Sole proprietorYes
NPI enumeratedJanuary 18, 2016
Last updated in NPPESJanuary 18, 2016

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