Individual provider Active NPI

Kathy Alcid, O.D.

  • Optometrist
  • San Leandro, CA
National Provider Identifier
1093199606
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15281 Issued in CA
Practice address
276 Dolores Ave
San Leandro, CA 94577-5008
Phone
(510) 614-1515
NPI assigned
Jul 13, 2015
Last updated
Jul 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15281 CA Primary

Addresses

Primary practice location

276 Dolores Ave
San Leandro, CA 94577-5008

Mailing address

276 Dolores Ave
San Leandro, CA 94577-5008

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
I20160815000882 CA Practitioner - Optometry 1052605029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Ophthalmic Medical CorporationGroup PAC ID 8426226655, 3 clinicians

Practice addresses (Care Compare)

276 Dolores Ave
San Leandro, CA 94577-5008
Phone (510) 614-1515

Merit-based Incentive Payment System (MIPS)

Final score
94.23 of 100Reported as group
Quality
93.53
Improvement activities
40
Cost
74.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Ophthalmic Medical Corporation CurrentSince Jul 6, 2016 Accepting new patients
For Your Eyes Only Ophthalmic Medical Corp. Optometrist CurrentSince Apr 7, 2018 Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients

Locations

20400 Lake Chabot Rd
Ste 302
Castro Valley, CA 94546
Phone (510) 614-1515

2687 Castro Valley Blvd
Castro Valley, CA 94546
Phone (510) 538-3937

1220 Concord Ave
Ste 290
Concord, CA 94520
Phone (800) 339-2733

1401 Willow Pass Rd
Concord, CA 94520
Phone (323) 371-5046

1401 Willow Pass Rd
Ste 100
Concord, CA 94520
Phone (510) 614-1515

276 Dolores Ave
San Leandro, CA 94577
Phone (510) 614-1515

276 Dolores Ave
Ste 300
San Leandro, CA 94577
Phone (800) 339-2733

1811 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 933-1344

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, 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": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1093199606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 DOLORES AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 DOLORES AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775008",
            "telephone_number": "510-614-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCID",
        "first_name": "KATHY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.