Individual provider Active NPI

Farah N Noory, O.D.

  • Optometrist
  • Pittsburg, CA
National Provider Identifier
1154478899
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11483 Issued in CA
Practice address
2260 Gladstone Dr Ste 4
Pittsburg, CA 94565-5125
Phone
(925) 432-9300
Fax
(925) 432-9600
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11483 CA Primary

Addresses

Primary practice location

2260 Gladstone Dr Ste 4
Pittsburg, CA 94565-5125

Mailing address

3240 Macquire Way
Dublin, CA 94568
Phone (925) 895-9093

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
I20101104001204 CA Practitioner - Optometry 1254525058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1154478899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 MACQUIRE WAY",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "94568",
            "telephone_number": "925-895-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 GLADSTONE DR STE 4",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655125",
            "telephone_number": "925-432-9300",
            "fax_number": "925-432-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORY",
        "first_name": "FARAH",
        "middle_name": "N",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, CA

Sources for this page

Verify at the official NPI Registry.