Individual provider Active NPI

Crizelda Lauron, O.D.

  • Optometrist
  • San Rafael, CA
National Provider Identifier
1033513742
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT15161TLG Issued in CA
Practice address
4000 Civic Center Dr
Suite 200a
San Rafael, CA 94903-4171
Phone
(415) 444-0300
NPI assigned
Oct 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT15161TLG CA Primary

Addresses

Primary practice location

4000 Civic Center Dr
Suite 200a
San Rafael, CA 94903-4171

Mailing address

1313 Solano Ave
Albany, CA 94706-1825
Phone (510) 526-0194

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
I20150708000938 CA Practitioner - Optometry 8729390513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meredith Walton OD Optometric CorporationGroup PAC ID 4183997513, 5 clinicians

Practice addresses (Care Compare)

3068 University Ave
San Diego, CA 92104-3034
Phone (619) 298-5524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT15161TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Meredith Walton OD, Optometric Corporation Optometrist CurrentSince Jun 7, 2024 Accepting new patients
East Bay Eye Centers Medical Corporation PastSince Aug 12, 2021 Accepting new patients
Heights Optometry Optometrist PastSince Jun 7, 2024 Accepting new patients

Locations

8321 La Mesa Blvd
La Mesa, CA 91942
Phone (619) 550-0403

3068 University Ave
San Diego, CA 92104
Phone (619) 298-5524

3404 Adams Ave
San Diego, CA 92116
Phone (619) 431-5393

Organizations & group practices 3

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": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1033513742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 SOLANO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061825",
            "telephone_number": "510-526-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CIVIC CENTER DR",
            "address_2": "SUITE 200A",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034171",
            "telephone_number": "415-444-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURON",
        "first_name": "CRIZELDA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT15161TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.