Individual provider Active NPI

Vincent Rene Dagron, O.D.

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1245275916
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11593T Issued in CA
Practice address
251 Rhode Island St
Suite # 110
San Francisco, CA 94103-5148
Phone
(510) 435-5400
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11593T CA Primary

Addresses

Primary practice location

251 Rhode Island St
Suite # 110
San Francisco, CA 94103-5148

Mailing address

208 Pennsylvania Ave
Suite # 202B
San Francisco, CA 94107-2553
Phone (510) 435-5400

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11593TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1245275916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PENNSYLVANIA AVE",
            "address_2": "SUITE # 202B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072553",
            "telephone_number": "510-435-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 RHODE ISLAND ST",
            "address_2": "SUITE # 110",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941035148",
            "telephone_number": "510-435-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGRON",
        "first_name": "VINCENT",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11593T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.