Individual provider Active NPI

Richard William Sequeira, O.D.

  • Optometrist
  • Castro Valley, CA
National Provider Identifier
1194871525
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6347T Issued in CA
Practice address
4041 E Castro Valley Blvd
Castro Valley, CA 94552-4840
Phone
(510) 881-8343
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6347T CA Primary

Addresses

Primary practice location

4041 E Castro Valley Blvd
Castro Valley, CA 94552-4840

Mailing address

1777 Vista Grand Dr
San Leandro, CA 94577-6832
Phone (510) 352-3093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6347TCAMDOptometrist
6347CAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Castro Valley Optometry Group, Inc. Optometrist PastSince May 10, 2013 Accepting new patients
Richard Sequeira Et Al PTRS Optometrist Past Accepting new patients

Organizations & group practices 2

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1194871525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 VISTA GRAND DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776832",
            "telephone_number": "510-352-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 E CASTRO VALLEY BLVD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945524840",
            "telephone_number": "510-881-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEQUEIRA",
        "first_name": "RICHARD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6347T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.