Organization Active NPI

Ursula Moonsamy

Doing business as Eye Care Optometry

  • Optometrist
  • Oakland, CA
National Provider Identifier
1053607713
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
URSULA MOONSAMY
Doing business as
Eye Care Optometry
Practice address
3341 Lakeshore Ave
Oakland, CA 94610-2305
Phone
(510) 832-3937
Fax
(510) 832-5166
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Ursula Moonsamy
Title
Owner
Phone
(510) 832-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3341 Lakeshore Ave
Oakland, CA 94610-2305

Mailing address

3341 Lakeshore Ave
Oakland, CA 94610-2305
Phone (510) 832-3937

Other names 1

  • Eye Care Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

3341 Lakeshore Ave
Oakland, CA 94610
Phone (310) 774-1765

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1053607713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 LAKESHORE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102305",
            "telephone_number": "510-832-3937",
            "fax_number": "510-832-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 LAKESHORE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102305",
            "telephone_number": "510-832-3937",
            "fax_number": "510-832-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URSULA MOONSAMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "MOONSAMY",
        "authorized_official_first_name": "URSULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-832-3937"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.