Organization Active NPI

Rancho Mirage Optometric Family Eyecare, Inc.

  • Optometrist
  • Rancho Mirage, CA
National Provider Identifier
1225645211
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RANCHO MIRAGE OPTOMETRIC FAMILY EYECARE, INC.
Practice address
71703 Highway 111 Ste 2a
Rancho Mirage, CA 92270-4478
Phone
(760) 340-5292
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Dr. Craig S Steinberg, OD
Title
President
Phone
(818) 879-7919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

71703 Highway 111 Ste 2a
Rancho Mirage, CA 92270-4478

Mailing address

71703 Highway 111 Ste 2a
Rancho Mirage, CA 92270-4478
Phone (760) 340-5292

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@ranchomirageoptometric.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210609002525 CA Part B Supplier - Clinic/Group Practice 0840690053 Receives reassigned benefits from 1 practitioner
Practice locations: Rancho Mirage, CA

National Provider Directory

National Provider Directory

Locations

71703 Highway 111
Ste 2A
Rancho Mirage, CA 92270
Phone (760) 340-5292

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1225645211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71703 HIGHWAY 111 STE 2A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704478",
            "telephone_number": "760-340-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71703 HIGHWAY 111 STE 2A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704478",
            "telephone_number": "760-340-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO MIRAGE OPTOMETRIC FAMILY EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "STEINBERG",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-879-7919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@ranchomirageoptometric.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "address_1": "71703 Highway 111 Ste 2A",
            "city": "Rancho Mirage",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922704478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.