Individual provider Active NPI

Rick N Hattori, D.O.

  • Optometrist
  • Monterey, CA
National Provider Identifier
1043268766
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5150T Issued in CA
Practice address
757 Pacific St
Ste C1
Monterey, CA 93940-2819
Phone
(831) 372-7433
NPI assigned
May 5, 2006
Last updated
Mar 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT5150T CA Primary

Addresses

Primary practice location

757 Pacific St
Ste C1
Monterey, CA 93940-2819

Mailing address

757 Pacific St
Ste C1
Monterey, CA 93940-2819
Phone (831) 884-2508

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
I20120501000669 CA Practitioner - Optometry 0648432054 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OPT5150TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hattori Vision Optometry PastSince Mar 1, 2012 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1043268766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 PACIFIC ST",
            "address_2": "STE C1",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402819",
            "telephone_number": "831-884-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 PACIFIC ST",
            "address_2": "STE C1",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402819",
            "telephone_number": "831-372-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTORI",
        "first_name": "RICK",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT5150T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.