Individual provider Active NPI

Andrew Price, OD, MS

  • Optometrist
  • Riverside, CA
National Provider Identifier
1013649623
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35140 Issued in CA
Practice address
2755 Canyon Springs Pkwy
Riverside, CA 92507-0932
Phone
(951) 988-2020
Fax
(951) 382-6226
NPI assigned
Jun 30, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 35140 CA
Low Vision Rehabilitation Optometrist 152WL0500X 35140 CA
Pediatric Optometrist 152WP0200X 35140 CA
Sports Vision Optometrist 152WS0006X 35140 CA
Vision Therapy Optometrist 152WV0400X 35140 CA
Occupational Vision Optometrist 152WX0102X 35140 CA
Optometrist 152W00000X 35140 CA Primary

Addresses

Primary practice location

2755 Canyon Springs Pkwy
Riverside, CA 92507-0932

Mailing address

PO Box 33542
Riverside, CA 92519-0542

Other practice location 1

812 W Oak Ave
Visalia, CA 93291-6034
Phone (951) 988-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Price Optometry Inc Optometrist CurrentSince Jul 3, 2022 Accepting new patients
Andrew Price OD Optometrist CurrentSince Feb 25, 2024 Accepting new patients
Redlands Optometry Group Inc a Professional Optometric Corporation Optometrist PastSince Jul 1, 2022 Accepting new patients
Mark O. Price, O.D. Optometrist PastSince Jul 1, 2022 Accepting new patients

Locations

2755 Canyon Springs Pkwy
Riverside, CA 92507
Phone (626) 215-9764

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1013649623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33542",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925190542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 CANYON SPRINGS PKWY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070932",
            "telephone_number": "951-988-2020",
            "fax_number": "951-382-6226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 W OAK AVE",
            "address_purpose": "LOCATION",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916034",
            "country_code": "US",
            "telephone_number": "951-988-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "OD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-30",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "35140",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "35140",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "35140",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "35140",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "35140",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CA",
            "license": "35140",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.