Active NPI
Robert Anthony Turcios Jr., O.D.
- Optometrist
- Pleasant Hill, CA
National Provider Identifier
1124053152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7077T
- Practice address
- 61 Chilpancingo Pkwy
Pleasant Hill, CA 94523-1300 - Phone
- (925) 676-8365
- Fax
- (925) 676-3382
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7077T | CA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 7077T | CA | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 7077T | CA | |
| Pediatric Optometrist | 152WP0200X | 7077T | CA | |
| Sports Vision Optometrist | 152WS0006X | 7077T | CA | |
| Vision Therapy Optometrist | 152WV0400X | 7077T | CA | |
| Occupational Vision Optometrist | 152WX0102X | 7077T | CA |
Addresses
Primary practice location
61 Chilpancingo Pkwy
Pleasant Hill, CA 94523-1300
Mailing address
61 Chilpancingo Pkwy
Pleasant Hill, CA 94523-1300
Phone (925) 676-8365
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0070770 | Medicaid | CA | |
| 7077T | Other | CA | STATE LICENCE NUMBER |
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
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101008000460 | CA | Practitioner - Optometry | 4880704436 | Practice locations: Pleasant Hill, CA |
| O20150205001334 | CA | DME Supplier - Physician - Optometrist | 4284959669 | Practice locations: Pleasant Hill, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
395 Civic Dr
Suite G
Pleasant Hill, CA 94523-1950
Phone (925) 676-8365
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7077T | CA | MD | Low Vision Rehabilitation Optometrist |
| 7077 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etwaru Eye Center | 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.
-
- Ophthalmology Physician
- Pleasant Hill, CA
- NPI 1780045658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1124053152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 CHILPANCINGO PKWY",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945231300",
"telephone_number": "925-676-8365",
"fax_number": "925-676-3382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 CHILPANCINGO PKWY",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945231300",
"telephone_number": "925-676-8365",
"fax_number": "925-676-3382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURCIOS JR.",
"first_name": "ROBERT",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "7077T",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "7077T",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "CA",
"license": "7077T",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "CA",
"license": "7077T",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "CA",
"license": "7077T",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "CA",
"license": "7077T",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "CA",
"license": "7077T",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0070770",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE NUMBER",
"identifier": "7077T",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.