Active NPI
Caryn Ha, O.D.
- Optometrist
- San Ramon, CA
National Provider Identifier
1215059225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT12942-TPL
- Practice address
- 175 Market PL
San Ramon, CA 94583-4741 - Phone
- (925) 475-0202
- Fax
- (925) 275-0447
- NPI assigned
- Apr 3, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT12942-TPL | CA | Primary |
| Optometrist | 152W00000X | 007022 | NY |
Addresses
Primary practice location
175 Market PL
San Ramon, CA 94583-4741
Mailing address
175 Market PL
San Ramon, CA 94583-4741
Phone (925) 475-0202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03044584 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPT12942-TPL | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1215059225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MARKET PL",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834741",
"telephone_number": "925-475-0202",
"fax_number": "925-275-0447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MARKET PL",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834741",
"telephone_number": "925-475-0202",
"fax_number": "925-275-0447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HA",
"first_name": "CARYN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT12942-TPL",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "007022",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03044584",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.