Rick Wayne Ideta, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT8503TPA Issued in CA

Practice address

7215 N 1St St
Ste 101
Fresno, CA 93720-2985

Phone

(559) 226-3937

Fax

(559) 226-8305

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aloha Family Optometric Grou

  • Optometrist
  • Fresno, CA
  • NPI 1285722694
  Medicare reassignment NPD
• Yamamoto Optometric Corporation

  • Optometrist
  • Fresno, CA
  • NPI 1922953462
  NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1245282011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 N 1ST ST",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202985",
            "telephone_number": "559-226-3937",
            "fax_number": "559-226-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 N 1ST ST",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202985",
            "telephone_number": "559-226-3937",
            "fax_number": "559-226-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDETA",
        "first_name": "RICK",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8503TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD INS",
            "identifier": "191148",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0085030",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES INS",
            "identifier": "3636",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allen Oviemuno Ichide
• Harriet Ichiyama, NP
• Ideal Care Centers Inc,
• Ideal Urgent Care a Medical Corporation
• Funmilayo Helen Idemudia, MD
• Gregory Aifehiengbe Idoni
• Moazah Iftikhar, MBBS
• Annabel Iglesias
• Ignacio Guzman, a Professional Medical Corporation
• Geraldine Ignacio-Saechao, RN

• Optometrist in Fresno, CA
• Providers in Fresno, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.