Active NPI
Katherine Makedonsky, OD
- Optometrist
- Alameda, CA
National Provider Identifier
1154843779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT33727TLG
- Practice address
- 847 Marina Village Pkwy
Alameda, CA 94501-1035 - Phone
- (510) 337-7970
- Fax
- (510) 337-7973
- NPI assigned
- Jul 14, 2017
- 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 | OPT33727TLG | CA | Primary |
Addresses
Primary practice location
847 Marina Village Pkwy
Alameda, CA 94501-1035
Mailing address
1234 Mountain Side CT
Concord, CA 94521-5508
Phone (925) 457-8632
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 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180417002307 | CA | Practitioner - Optometry | 6709149172 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33727 | CA | MD | General Practice Dentistry |
| OPT33727TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher P. Young OD, Inc. | Optometrist | Current | Accepting new patients |
| Susan C, Lodenquai, O.D. Inc | Optometrist | Past | Accepting new patients |
| East Bay Eye Centers Medical Corporation | Past | Accepting new patients |
Locations
847 Marina Village Pkwy
Alameda, CA 94501
Phone (408) 504-6053
Organizations & group practices 3
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.
-
- Specialist
- San Ramon, CA
- NPI 1780633644
-
- Optometrist
- Los Altos, CA
- NPI 1144501933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1154843779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 MOUNTAIN SIDE CT",
"city": "CONCORD",
"state": "CA",
"postal_code": "945215508",
"telephone_number": "925-457-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "847 MARINA VILLAGE PKWY",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945011035",
"telephone_number": "510-337-7970",
"fax_number": "510-337-7973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKEDONSKY",
"first_name": "KATHERINE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT33727TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.