Individual provider Active NPI

Anna Luo, OD

  • Optometrist
  • San Ramon, CA
National Provider Identifier
1154934552
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34619 Issued in CA
Practice address
3191 Crow Canyon PL
San Ramon, CA 94583-1349
Phone
(925) 244-1400
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34619 CA Primary

Addresses

Primary practice location

3191 Crow Canyon PL
San Ramon, CA 94583-1349

Mailing address

3191 Crow Canyon PL
San Ramon, CA 94583-1349
Phone (925) 244-1400

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
I20210115000407 CA Practitioner - Optometry 5193138931 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine Current Accepting new patients
Golden State Orthopedics & Spine CurrentSince Feb 5, 2022 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Feb 5, 2022 Accepting new patients
Richard Sequeira Et Al PTRS Optometrist PastSince Aug 1, 2020 Accepting new patients
20-20 Optometry Optometrist PastSince Dec 1, 2021 Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1154934552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 CROW CANYON PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831349",
            "telephone_number": "925-244-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 CROW CANYON PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831349",
            "telephone_number": "925-244-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUO",
        "first_name": "ANNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.