Napa Valley Optometric Group

Primary specialty

OptometristTaxonomy code 152W00000X

License

COR 731 Issued in CA

Legal business name

NAPA VALLEY OPTOMETRIC GROUP

Practice address

1104 Pear Tree LN
Napa, CA 94558-6446

Phone

(707) 252-5380

Fax

(707) 252-5384

NPI assigned

Jul 8, 2006

Last updated

Jan 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Joseph Herbert, ODNPI 1023396355

Title

Owner/President

Phone

(707) 252-5380

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Joseph Herbert, O.D.

  • Optometrist
  • Napa, CA
  • NPI 1023396355
  Medicare reassignment Care Compare group Authorized official
• Christina Chun, O.D.

  • Optometrist
  • Novato, CA
  • NPI 1386037992
  Medicare reassignment Care Compare group NPD
• Kristen Glasgow, O.D.

  • Optometrist
  • Santa Rosa, CA
  • NPI 1699047530
  Medicare reassignment Care Compare group NPD
• Loukia Hadjiyianni, OD

  • Optometrist
  • Napa, CA
  • NPI 1083287015
  Medicare reassignment Care Compare group NPD
• Gregg J Beach, O.D.

  • Optometrist
  • Napa, CA
  • NPI 1295705010
  Medicare reassignment NPD
• Stephanie Renee Loftus, OD

  • Optometrist
  • Albuquerque, NM
  • NPI 1194272500
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610841600000",
    "number": "1295768919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 PEAR TREE LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586446",
            "telephone_number": "707-252-5380",
            "fax_number": "707-252-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 PEAR TREE LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586446",
            "telephone_number": "707-252-5380",
            "fax_number": "707-252-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPA VALLEY OPTOMETRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A",
        "authorized_official_last_name": "HERBERT",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "707-252-5380",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "COR 731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "ZZZ54392Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD001210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Napa Valley Ear, Nose and Throat, Inc.
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• Napa Valley Nephrology and Internal Medicine Inc
• Napa Valley Neurology Medical Group Inc
• Napa Valley Orthopaedic Medical Group, Inc
• Napa Valley Physical Therapy Center Inc
• Napa Valley Plastic Surgery Inc.
• Napa Valley Plastic Surgery Inc.
• Napa Valley Project Ninety Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.