Organization Active NPI

Flores Optometry Inc

  • Optometrist
  • San Leandro, CA
National Provider Identifier
1326365032
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA 12066TP Issued in CA
Legal business name
FLORES OPTOMETRY INC
Practice address
1332 E 14TH St
San Leandro, CA 94577-4714
Phone
(510) 614-2020
NPI assigned
Apr 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Rosario Flores, ODNPI 1639399983
Title
President
Phone
(510) 614-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X CA 12066TP CA Primary

Addresses

Primary practice location

1332 E 14TH St
San Leandro, CA 94577-4714

Mailing address

1332 E 14TH St
San Leandro, CA 94577-4714
Phone (510) 614-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101206000450 CA Part B Supplier - Clinic/Group Practice 7911194881 Receives reassigned benefits from 5 practitioners
Practice locations: San Leandro, CA

National Provider Directory

National Provider Directory

Locations

1332 E 14th St
San Leandro, CA 94577
Phone (510) 372-2900

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1326365032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 E 14TH ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774714",
            "telephone_number": "510-614-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 E 14TH ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774714",
            "telephone_number": "510-614-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORES OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-614-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA 12066TP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.