Active NPI
Lassa J Frank, O.D.
- Optometrist
- San Anselmo, CA
National Provider Identifier
1235190208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8464TPL
- Practice address
- 1604 Sir Francis Drake Blvd
San Anselmo, CA 94960-1845 - Phone
- (415) 453-8906
- Fax
- (415) 453-0156
- NPI assigned
- Mar 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8464TPL | CA | Primary |
Addresses
Primary practice location
1604 Sir Francis Drake Blvd
San Anselmo, CA 94960-1845
Mailing address
1604 Sir Francis Drake Blvd
San Anselmo, CA 94960-1845
Phone (415) 453-8906
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5091080001 | Other | CA | DMERC CIGNA SUPPLIER # |
| 680226455 | Other | CA | VISION SERVICE PLAN ID# |
| 8464TPL | Other | CA | LICENSE NUMBER |
| P00260245 | Other | CA | MEDICARE RAILROAD PIN |
| 0003748569 | Other | CA | CALIFORNIA EMPLOYER ID |
| 680226455 | Other | CA | BLUE CROSS ID NUMBER |
| 680226455 | Other | CA | UNITEDHEALTHCARE ID # |
| 942846602 | Other | CA | FEDERAL ID NUMBER |
| SD0084640 | Other | CA | BLUE SHIELD PIN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1604 Sir Francis Drake Blvd
San Anselmo, CA 94960-1845
Phone (415) 456-8906
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8464TPL | CA | MD | Optometrist |
| 8464 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lassa J. Frank, OD, Inc | Optometrist | Current | Accepting new patients |
Locations
1604 Sir Francis Drk Blvd
San Anselmo, CA 94960
Phone (415) 453-8906
Organizations & group practices 1
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.
-
- Optometrist
- San Anselmo, CA
- NPI 1356759377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1235190208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 SIR FRANCIS DRAKE BLVD",
"city": "SAN ANSELMO",
"state": "CA",
"postal_code": "949601845",
"telephone_number": "415-453-8906",
"fax_number": "415-453-0156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 SIR FRANCIS DRAKE BLVD",
"city": "SAN ANSELMO",
"state": "CA",
"postal_code": "949601845",
"telephone_number": "415-453-8906",
"fax_number": "415-453-0156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANK",
"first_name": "LASSA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "8464TPL",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC CIGNA SUPPLIER #",
"identifier": "5091080001",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION SERVICE PLAN ID#",
"identifier": "680226455",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "8464TPL",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PIN",
"identifier": "P00260245",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA EMPLOYER ID",
"identifier": "0003748569",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID NUMBER",
"identifier": "680226455",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE ID #",
"identifier": "680226455",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL ID NUMBER",
"identifier": "942846602",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PIN",
"identifier": "SD0084640",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Anselmo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.