Active NPI
Rebecca L Kammer, OD
- Optometrist
- Irvine, CA
National Provider Identifier
1093818403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11159TPA
- Practice address
- 4920 Barranca Pkwy
Ste a
Irvine, CA 92604-4672 - Phone
- (888) 322-5743
- Fax
- (949) 864-6254
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11159TPA | CA | Primary |
Addresses
Primary practice location
4920 Barranca Pkwy
Ste a
Irvine, CA 92604-4672
Mailing address
4920 Barranca Pkwy
Ste a
Irvine, CA 92604-4672
Phone (888) 322-5743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11159TPA | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jimmy K. Lee, M.D. Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Cornea and External Diseases Specialist Physician
- Irvine, CA
- NPI 1750143681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508284800000",
"number": "1093818403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4920 BARRANCA PKWY",
"address_2": "STE A",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044672",
"telephone_number": "888-322-5743",
"fax_number": "949-864-6254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 BARRANCA PKWY",
"address_2": "STE A",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044672",
"telephone_number": "888-322-5743",
"fax_number": "949-864-6254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMMER",
"first_name": "REBECCA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2017-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11159TPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.