Ace Eyecare Inc
Organization Active NPI Ophthalmology Physician · Bakersfield, CA
NPI 1013449297 · NPPES record last updated Mar 28, 2017
Key facts
- NPI
- 1013449297
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- ACE EYECARE INC
- Practice address
- 1721 Westwind Dr Ste B
Bakersfield, CA 93301-3026 - Phone
- (661) 215-1006
- Fax
- (661) 324-1172
- NPI assigned
- Mar 28, 2017
- Organization subpart
- No
Authorized official
- Name
- Sandy Y Reed
- Title
- Billing Manager
- Phone
- (661) 843-7616
Practitioners 12
-
Ali Reza Banihashemi, M.D.
-
Daniel H Chang, MD
-
James E Hunt, M.D.
-
Andrew Allen Kao, MD
-
Roseanne Work, OD
-
Connie Young, OD
-
Laura K Brown, O.D.
-
Vin T Dang, O.D.
-
Jolly C Mamauag-Camat, O.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2280329 | Ace Eyecare, Inc | Certificate of waiver | Apr 17, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170616002341 | CA | Part B Supplier - Clinic/Group Practice | 3971871849 |
Receives reassigned benefits from 12 practitioners Practice locations: Bakersfield, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | |||
| Pediatric Optometrist |
152WP0200X | |||
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
1721 Westwind Dr Ste B
Bakersfield, CA 93301-3026
Mailing address
1721 Westwind Dr Ste B
Bakersfield, CA 93301-3026
Phone (661) 215-1006
Other providers in Bakersfield, CA
- Academy of Health Careers Inc
- Access Imaging Associates Inc.
- Access Urgent Care
- August Accetta
- Christine Leanne Accetta
- Ace Roadside Assistance Inc
- Ace Treck Transportation
- Ace'S Exceptional Nemt
- Ace1 Homehealth Services, Inc.
- Aida Acevedo Green
All providers in Bakersfield, CA · Ophthalmology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.