Provider Demographics
NPI:1073928008
Name:CHOUEIRY, GEORGE (OD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:CHOUEIRY
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30001 CROWN VALLEY PKWY STE F
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-1723
Mailing Address - Country:US
Mailing Address - Phone:949-495-1610
Mailing Address - Fax:949-495-3851
Practice Address - Street 1:30001 CROWN VALLEY PKWY STE F
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-1723
Practice Address - Country:US
Practice Address - Phone:949-495-1610
Practice Address - Fax:949-495-3851
Is Sole Proprietor?:No
Enumeration Date:2014-06-28
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14972152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist