Organization Active NPI

Darren NG OD Inc

  • Optometrist
  • Hercules, CA
National Provider Identifier
1003367012
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13319TLG Issued in CA
Legal business name
DARREN NG OD INC
Practice address
3700 San Pablo Ave
Ste. 5
Hercules, CA 94547-3968
Phone
(510) 741-9900
Fax
(510) 741-9910
NPI assigned
Oct 14, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Darren NG, O.D.NPI 1164612156
Title
Presdient
Phone
(510) 741-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170224001578 CA Part B Supplier - Clinic/Group Practice 7416231154 Receives reassigned benefits from 1 practitioner
Practice locations: Hercules, CA

National Provider Directory

National Provider Directory

Locations

3700 San Pablo Ave
Ste 5
Hercules, CA 94547
Phone (510) 741-9900

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13319TLG CA Primary

Addresses

NPPES NPI Registry

Primary practice location

3700 San Pablo Ave
Ste. 5
Hercules, CA 94547-3968

Mailing address

3700 San Pablo Ave
Ste. 5
Hercules, CA 94547-3968
Phone (510) 741-9900

Other names 1

NPPES NPI Registry
  • Insight Optometry Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2024.

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1003367012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 SAN PABLO AVE",
            "address_2": "STE. 5",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945473968",
            "telephone_number": "510-741-9900",
            "fax_number": "510-741-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SAN PABLO AVE",
            "address_2": "STE. 5",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945473968",
            "telephone_number": "510-741-9900",
            "fax_number": "510-741-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARREN NG OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "PRESDIENT",
        "authorized_official_telephone_number": "510-741-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13319TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hercules, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.