Active NPI
David William Oebker, O.D.
- Optometrist
- Capitola, CA
National Provider Identifier
1326195199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7547T
- Practice address
- 1855 41St Ave
Ste G-11
Capitola, CA 95010-2511 - Phone
- (831) 475-6519
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7547T | CA | Primary |
Addresses
Primary practice location
1855 41St Ave
Ste G-11
Capitola, CA 95010-2511
Mailing address
5237 Lincoln Villa Way
Fair Oaks, CA 95628-3949
Phone (916) 965-7464
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071210000644 | CA | Practitioner - Optometry | 8325137524 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7547T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Eyecare Professional Optometric Group | Optometrist | Current | Accepting new patients |
| Pearle Visioncare, Inc | Past | Accepting new patients | |
| Pearle Visioncare, Inc | Past | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
330 N Brand Blvd
Ste 110
Glendale, CA 91203
Phone (818) 240-0890
1055 Foothill Blvd
La Canada, CA 91011
6702 Inglewood Ave
Ste H
Stockton, CA 95207
Phone (209) 951-3937
Organizations & group practices 6
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.
-
- Optometrist
- Glendale, CA
- NPI 1306035118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326195199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5237 LINCOLN VILLA WAY",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956283949",
"telephone_number": "916-965-7464",
"fax_number": "916-966-4720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 41ST AVE",
"address_2": "STE G-11",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950102511",
"telephone_number": "831-475-6519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OEBKER",
"first_name": "DAVID",
"middle_name": "WILLIAM",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "7547T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Capitola, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.