Individual provider Active NPI

Jacqueline Noel Albert, OD

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1114538402
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34615 Issued in CA
Practice address
4105 Empire Dr
Bakersfield, CA 93309-0637
Phone
(661) 325-3937
NPI assigned
Aug 11, 2020
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34615 CA Primary

Addresses

Primary practice location

4105 Empire Dr
Bakersfield, CA 93309-0637

Mailing address

9908 Spring Oak Dr
Bakersfield, CA 93311-1728
Phone (661) 703-7990

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
I20200909003469 CA Practitioner - Optometry 7911325865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ace Eyecare IncGroup PAC ID 3971871849, 9 clinicians
Empire Eye and Laser Center IncGroup PAC ID 1456392786, 7 clinicians

Practice addresses (Care Compare)

1721 Westwind Dr
Suite B
Bakersfield, CA 93301-3026
Phone (661) 215-1006

4105 Empire Dr
Bakersfield, CA 93309-0637
Phone (661) 325-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34615CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Eyecare Inc Optometrist CurrentSince Jun 11, 2024 Accepting new patients
Empire Eye and Laser Center Inc Optometrist CurrentSince Aug 17, 2020 Accepting new patients

Locations

1721 Westwind Dr
#B
Bakersfield, CA 93301
Phone (661) 215-1006

4105 Empire Dr
Bakersfield, CA 93309
Phone (661) 325-3937

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1114538402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9908 SPRING OAK DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111728",
            "telephone_number": "661-703-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 EMPIRE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090637",
            "telephone_number": "661-325-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERT",
        "first_name": "JACQUELINE",
        "middle_name": "NOEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.