Individual provider Active NPI

Anna M Torres, O.D.

  • Optometrist
  • Claremont, CA
National Provider Identifier
1346295474
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8878T Issued in CA
Practice address
1420 N Claremont Blvd
Ste - 209B
Claremont, CA 91711-3528
Phone
(909) 621-0057
Fax
(909) 621-5485
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8878T CA Primary
Corneal and Contact Management Optometrist 152WC0802X 8878T CA
Pediatric Optometrist 152WP0200X 8878T CA

Addresses

Primary practice location

1420 N Claremont Blvd
Ste - 209B
Claremont, CA 91711-3528

Mailing address

1420 N Claremont Blvd
Ste - 209B
Claremont, CA 91711-3528
Phone (909) 621-0057

Other identifiers 1

IdentifierTypeStateIssuer
SD0088780MedicaidCA

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
I20101105001124 CA Practitioner - Optometry 4587872775 Practice locations: Claremont, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1420 N Claremont Blvd
Suite 209B
Claremont, CA 91711-3528
Phone (909) 621-0057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8878TCAMDPediatric Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1346295474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N CLAREMONT BLVD",
            "address_2": "STE - 209B",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113528",
            "telephone_number": "909-621-0057",
            "fax_number": "909-621-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N CLAREMONT BLVD",
            "address_2": "STE - 209B",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113528",
            "telephone_number": "909-621-0057",
            "fax_number": "909-621-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "ANNA",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8878T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "8878T",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "8878T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0088780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.