San Ramon Optometric Group Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

7590 Issued in CA

Legal business name

SAN RAMON OPTOMETRIC GROUP INC

Practice address

2723 Crow Canyon Rd
# 102
San Ramon, CA 94583

Phone

(925) 831-1084

Fax

(925) 831-8193

NPI assigned

Jan 30, 2006

Organization subpart

No

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

Authorized official

Name

Fletcher H Thames, ODNPI 1881768513

Title

Owner

Phone

(925) 831-1084

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fletcher H Thames, O.D.

  • Optometrist
  • San Ramon, CA
  • NPI 1881768513
  Medicare reassignment Care Compare group NPD Authorized official
• Joelle Chan

  • Optometrist
  • Fresno, CA
  • NPI 1295379402
  Medicare reassignment Care Compare group NPD
• Emily Meiyu Lin, OD

  • Optometrist
  • San Ramon, CA
  • NPI 1275969271
  Medicare reassignment NPD
• David Charles Moline, OD

  • Optometrist
  • Tracy, CA
  • NPI 1134133929
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1295706018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 CROW CANYON RD",
            "address_2": "# 102",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-831-1084",
            "fax_number": "925-831-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 CROW CANYON RD",
            "address_2": "# 102",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-831-1084",
            "fax_number": "925-831-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN RAMON OPTOMETRIC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "THAMES",
        "authorized_official_first_name": "FLETCHER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-831-1084",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.