Gracie Ner, OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

10773T Issued in CA

Practice address

2941 Cochran St Ste 5
Simi Valley, CA 93065-2789

Phone

(805) 583-3028

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Gracie Ner Optometry

  • Optometrist
  • Los Angeles, CA
  • NPI 1902083397
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073663068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13775 GLENOAKS BLVD UNIT 30",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913428370",
            "telephone_number": "818-364-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 COCHRAN ST STE 5",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652789",
            "telephone_number": "805-583-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NER",
        "first_name": "GRACIE",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10773T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0107730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farnaz Nejad, PHARM D.
• Nelson Murata O D an Optometric Corp
• Bruce A Nelson, M.D.
• Fatemeh Nematikoutanaei, DDS
• Paula Nemiroff-Polutanovich, LMFT
• Brenna Nichole Neri, BSM, LM, CPM
• Neo Andrae Caldona Neri
• Dana Neumann, D.C.
• Neurosoma Mental Health Group
• New Age Family Dental

• Optometrist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.