NPIMap

Organization Active NPI

A & B Professional Optometry Corporation

Doing business as Stockdale Optometry

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1174063465
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15131TLG Issued in CA
Legal business name
A & B PROFESSIONAL OPTOMETRY CORPORATION
Doing business as
Stockdale Optometry
Practice address
3869 Stockdale Hwy
Bakersfield, CA 93309-2188
Phone
(661) 831-8952
Fax
(661) 831-5042
NPI assigned
Mar 6, 2017
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Mr. Michael Aoyama, O.D.NPI 1518360528
Title
Owner/Optometrist
Phone
(661) 831-8952

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12978TPL CA
Optometrist 152W00000X 5732TPL CA
Optometrist 152W00000X 15131TLG CA Primary

Addresses

Primary practice location

3869 Stockdale Hwy
Bakersfield, CA 93309-2188

Mailing address

3869 Stockdale Hwy
Bakersfield, CA 93309-2188
Phone (661) 831-8952

Other names 1

  • Stockdale Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171219002409 CA Part B Supplier - Clinic/Group Practice 8325306442 Receives reassigned benefits from 2 practitioners
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

3869 Stockdale Hwy
Bakersfield, CA 93309
Phone (661) 831-8952

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1174063465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3869 STOCKDALE HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092188",
            "telephone_number": "661-831-8952",
            "fax_number": "661-831-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3869 STOCKDALE HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092188",
            "telephone_number": "661-831-8952",
            "fax_number": "661-831-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & B PROFESSIONAL OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "AOYAMA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "661-831-8952",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12978TPL",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5732TPL",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15131TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stockdale Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stockdale Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.