# SHEA OPTOMETRIC CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nuview Optometric Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881832962
- **Authorized official:** DR. JACK C. SHEA O.D. (PRESIDENT)
- **Authorized official phone:** (949) 642-7882

## Contact information

- **Practice address:** 2200 HARBOR BLVD, STE D-130, COSTA MESA, CA 92627-2501
- **Practice address phone:** (949) 642-7882
- **Practice address fax:** (949) 642-7792
- **Mailing address:** 2200 HARBOR BLVD, STE D-130, COSTA MESA, CA 92627-2501
- **Mailing address phone:** (949) 642-7882
- **Mailing address fax:** (949) 642-7792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 11538TPL | CA | — |
| 261QM2500X | Medical Specialty Clinic/Center | 11538TPL | CA | Yes |

## Other

- **Enumeration date:** 01/28/2009
- **Last updated:** 03/03/2009