Carolyn Akemi Doi Alekna, O.D.

Individual provider Active NPI Optometrist · Vallejo, CA

NPI 1285763631 · NPPES record last updated Feb 11, 2022

Key facts

NPI
1285763631
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
12567T (CA)
Practice address
975 Sereno Dr
Vallejo, CA 94589-2441
Phone
(707) 651-2585
Fax
(707) 651-2948
NPI assigned
Mar 3, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group Inc (10,928 clinicians)

Practice addresses (Care Compare)

975 Sereno Dr
Vallejo, CA 94589-2441
Phone (707) 651-1000

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20051216000698 CA Practitioner - Optometry 8123049137 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
12567TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Current Accepting new patients
Permanente Medical Group Inc Current
since Sep 22, 2012
Accepting new patients
Permanente Medical Group, Inc Current
since Sep 22, 2012
Accepting new patients

Locations

1800 Harrison St
Fl 7
Oakland, CA 94612

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12567T CA Yes

Addresses

Primary practice location

975 Sereno Dr
Vallejo, CA 94589-2441

Mailing address

2763 Hutchinson CT
Walnut Creek, CA 94598-4456

Other names

  • Dr. Carolyn Akemi Doi Professional name

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Other providers in Vallejo, CA

All providers in Vallejo, CA · Optometrist in California

Sources for this page

Verify at the official NPI Registry.