Individual provider Active NPI

Romualdo D. Enriquez, OPTICIAN

  • Contact Lens Fitter
  • San Francisco, CA
National Provider Identifier
1275698896
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Contact Lens FitterTaxonomy code 156FC0801X
License
A7377 Issued in MN
Practice address
5805 Mission St
San Francisco, CA 94112-4017
Phone
(415) 469-8210
Fax
(415) 469-0283
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Fitter 156FC0801X A7377 MN Primary
Optician 156FX1800X 20633 CA

Addresses

Primary practice location

5805 Mission St
San Francisco, CA 94112-4017

Mailing address

5805 Mission St
San Francisco, CA 94112-4017
Phone (415) 469-8210

Other identifiers 1

IdentifierTypeStateIssuer
DX005745FMedicaidCA

Other names 1

  • Mr. Romualdo D. Enriquez Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A7377MNMDContact Lens Fitter

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1275698896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941124017",
            "telephone_number": "415-469-8210",
            "fax_number": "415-469-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941124017",
            "telephone_number": "415-469-8210",
            "fax_number": "415-469-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "ROMUALDO",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "MN",
            "license": "A7377",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "20633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DX005745F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROMUALDO",
            "last_name": "ENRIQUEZ",
            "middle_name": "D.",
            "prefix": "MR.",
            "credential": "OPTICIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.