Individual provider Active NPI

Lindsay R Harris, O.D.

  • Optometrist
  • Beverly Hills, CA
National Provider Identifier
1316957723
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12921T Issued in CA
Practice address
450 N Roxbury Dr FL 3
Beverly Hills, CA 90210-4232
Phone
(310) 453-8911
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12921T CA Primary

Addresses

Primary practice location

450 N Roxbury Dr FL 3
Beverly Hills, CA 90210-4232

Mailing address

1275 W 29TH St Apt 201
Los Angeles, CA 90007-3168
Phone (215) 300-7107

Other identifiers 1

IdentifierTypeStateIssuer
12921TOtherCALICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070130000442 CA Practitioner - Optometry 1557362753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kerry K Assil MD IncGroup PAC ID 3476467549, 9 clinicians

Practice addresses (Care Compare)

450 N Roxbury Dr
FL 3
Beverly Hills, CA 90210-4238
Phone (310) 651-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12921TCAMDOptometrist
12921CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometrix Optometrist CurrentSince Apr 22, 2017 Accepting new patients
Kerry K. Assil, M.D., Inc. Past Accepting new patients

Locations

11701 Wilshire Blvd
Ste 10
Los Angeles, CA 90025
Phone (310) 820-7866

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1316957723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W 29TH ST APT 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073168",
            "telephone_number": "215-300-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR FL 3",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104232",
            "telephone_number": "310-453-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LINDSAY",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12921T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "12921T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.