Individual provider Active NPI

Joseph Occhipinti, O.D.

  • Optometrist
  • Anaheim, CA
National Provider Identifier
1235282922
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9327T Issued in CA
Practice address
10502 Katella Ave
Anaheim, CA 92804-6528
Phone
(714) 776-2020
Fax
(714) 776-1618
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9327T CA Primary

Addresses

Primary practice location

10502 Katella Ave
Anaheim, CA 92804-6528

Mailing address

10502 Katella Ave
Anaheim, CA 92804-6528
Phone (714) 776-2020

Other identifiers 1

IdentifierTypeStateIssuer
GSD001160OtherCAMEDICAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070625000709 CA Practitioner - Optometry 5294834727 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9327TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
O.C. Optometric Group Inc. Optometrist CurrentSince Apr 1, 2003 Accepting new patients

Locations

10502 Katella Ave
Anaheim, CA 92804
Phone (714) 776-2020

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235282922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10502 KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046528",
            "telephone_number": "714-776-2020",
            "fax_number": "714-776-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10502 KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046528",
            "telephone_number": "714-776-2020",
            "fax_number": "714-776-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCCHIPINTI",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9327T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "GSD001160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.