Richard Samuel Eisenberg, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

5846T Issued in CA

Practice address

21835 1/2 Ventura Blvd
Woodland Hills, CA 91364-1864

Phone

(818) 883-9562

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 1974

Medicare assignment

May accept Medicare assignment

Group practices

Fourth Optometric Care of CaliforniaGroup PAC ID 6305210345, 25 clinicians

Practice addresses (Care Compare)

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.

• Fourth Optometric Care of California

  • Optometrist
  • Mountain View, CA
  • NPI 1497499974
  Medicare reassignment Care Compare group NPD
• Matthew R Alpert, O.D.

  • Optometrist
  • Woodland Hills, CA
  • NPI 1396765277
  Medicare reassignment
• Fourth Optometric Care of California

  • Optometrist
  • Mountain View, CA
  • NPI 1689248874
  NPD
• Fourth Optometric Care of California

  • Optometrist
  • Lakewood, CA
  • NPI 1932845559
  NPD
• Fourth Optometric Care of California

  • Optometrist
  • Woodland Hills, CA
  • NPI 1568198281
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1295823565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21835 1/2 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641864",
            "telephone_number": "818-883-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21835 1/2 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641864",
            "telephone_number": "818-883-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "RICHARD",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "5846T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ania Edwards
• Eeg Info
• Zachary Effron
• Benjamin Sutter Ehret
• Paz Pesach Eilat, M.D.
• Zenna Adel Eissa
• El Camino Real Charter High School
• Elegant Hospice Care
• Elevated Care Hospice
• Elevated Healing Behavioral Health Inc.

• Corneal and Contact Management Optometrist in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.