Active NPI
Darren NG OD Inc
- Optometrist
- Hercules, CA
National Provider Identifier
1003367012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13319TLG
- 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.
- 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.
-
- Optometrist
- Hercules, CA
- NPI 1114478468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170224001578 | CA | Part B Supplier - Clinic/Group Practice | 7416231154 |
Receives reassigned benefits from 1 practitioner Practice locations: Hercules, CA |
National Provider Directory
National Provider DirectoryLocations
3700 San Pablo Ave
Ste 5
Hercules, CA 94547
Phone (510) 741-9900
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13319TLG | CA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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.