Organization Active NPI

Sako and Kame Optometric Corp

  • Optometrist
  • Fountain Valley, CA
National Provider Identifier
1003584624
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SAKO AND KAME OPTOMETRIC CORP
Practice address
18449 Brookhurst St Ste 6
Fountain Valley, CA 92708-6751
Phone
(714) 963-2111
NPI assigned
Aug 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anna Kame, ODNPI 1770554727
Title
Cfo
Phone
(213) 357-2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

18449 Brookhurst St Ste 6
Fountain Valley, CA 92708-6751

Mailing address

4181 Eureka Ave
Yorba Linda, CA 92886-6103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231030003093 CA Part B Supplier - Clinic/Group Practice 3678929403 Receives reassigned benefits from 1 practitioner
Practice locations: Fountain Valley, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1003584624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 EUREKA AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928866103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18449 BROOKHURST ST STE 6",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086751",
            "telephone_number": "714-963-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKO AND KAME OPTOMETRIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "KAME",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "213-357-2025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.