Individual provider Active NPI

Larry Alan Sarver, O.D.

  • Corneal and Contact Management Optometrist
  • Oakland, CA
National Provider Identifier
1033269063
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
7048 TPL Issued in CA
Practice address
5321 College Ave
Oakland, CA 94618-1416
Phone
(510) 655-3797
Fax
(510) 655-3701
NPI assigned
Jan 11, 2007
Last updated
Sep 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 7048 TPL CA Primary

Addresses

Primary practice location

5321 College Ave
Oakland, CA 94618-1416

Mailing address

5321 College Ave
Oakland, CA 94618-1416
Phone (510) 655-3797

Other identifiers 1

IdentifierTypeStateIssuer
SD0070480MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091120000269 CA Practitioner - Optometry 3274672811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sakai and Junge Optometry CorpGroup PAC ID 6305315789, 4 clinicians
Rockridge OptometryGroup PAC ID 8921036203, 4 clinicians

Practice addresses (Care Compare)

5321 College Ave
Oakland, CA 94618-1416
Phone (510) 655-3797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7048 TPLCAMDCorneal and Contact Management Optometrist
7048CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sakai and Junge Optometry Corp. Corneal and Contact Management CurrentSince Oct 14, 2009 Accepting new patients

Locations

5321 College Ave
Oakland, CA 94618
Phone (510) 655-3701

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1033269063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 COLLEGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181416",
            "telephone_number": "510-655-3797",
            "fax_number": "510-655-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 COLLEGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181416",
            "telephone_number": "510-655-3797",
            "fax_number": "510-655-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARVER",
        "first_name": "LARRY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "7048 TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0070480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.