Livermore Optometry Group

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LIVERMORE OPTOMETRY GROUP

Practice address

1800 4TH St
Livermore, CA 94550-4454

Phone

(925) 447-3883

Fax

(925) 447-2957

NPI assigned

Feb 21, 2007

Last updated

Jun 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven Faith, ODNPI 1518040690

Title

Owner

Phone

(925) 447-3883

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 16

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.

• Steven E Faith, O.D.

  • Optometrist
  • Livermore, CA
  • NPI 1518040690
  Medicare reassignment Care Compare group NPD Authorized official
• Pamela Rosemary Jetter, OD

  • Optometrist
  • Livermore, CA
  • NPI 1497270193
  Medicare reassignment Care Compare group NPD
• Shawna Elizabeth Kuntz, O.D.

  • Optometrist
  • Livermore, CA
  • NPI 1831271428
  Medicare reassignment Care Compare group NPD
• Melanie Louise Mason, O.D.

  • Optometrist
  • Livermore, CA
  • NPI 1891082913
  Medicare reassignment Care Compare group NPD
• Andrea Melendez-Ngo, O.D.

  • Optometrist
  • Livermore, CA
  • NPI 1932299328
  Medicare reassignment Care Compare group NPD
• Michelle Elizabeth Morales, OD

  • Optometrist
  • Livermore, CA
  • NPI 1598280877
  Medicare reassignment Care Compare group NPD
• Jonathan Pham, OD

  • Optometrist
  • Livermore, CA
  • NPI 1821724873
  Medicare reassignment Care Compare group NPD
• Justin Duong-Mac, OD

  • Optometrist
  • San Francisco, CA
  • NPI 1568089738
  Medicare reassignment NPD
• Allen Luong, OD

  • Optometrist
  • Dublin, CA
  • NPI 1326622796
  Medicare reassignment NPD
• Steven Thomas Perry, OD

  • Optometrist
  • Modesto, CA
  • NPI 1821571043
  Medicare reassignment NPD
• Teresa Ann Yim, O.D.

  • Corneal and Contact Management Optometrist
  • Livermore, CA
  • NPI 1003969650
  Medicare reassignment NPD
• Emily Beth Burnham, OD

  • Optometrist
  • Oakland, CA
  • NPI 1659452506
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1114062635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 4TH ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504454",
            "telephone_number": "925-447-3883",
            "fax_number": "925-447-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 4TH ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504454",
            "telephone_number": "925-447-3883",
            "fax_number": "925-447-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVERMORE OPTOMETRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "FAITH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-447-3883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YYY49017Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Livermore Care Home
• Livermore Dental Care
• Livermore Family Medicine & Geriatrics, Inc.
• Livermore Medical Clinic, P.C.
• Livermore Medical Supply
• Livermore Primary Care Medical Associates, Inc.
• Livermore Primary Care Medical Associates, Inc.
• Livermore Valley Jusd
• Alicia April Lo, MD
• Jeannette D Lobao, PSY.D

• Optometrist in Livermore, CA
• Providers in Livermore, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.