Abraham Hanono, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14900 Issued in CA

Practice address

894 Palm Ave
Suite B
Imperial Beach, CA 91932-1572

Phone

(619) 424-9333

NPI assigned

Jun 3, 2014

Last updated

Jul 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Ohio State University - College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imperial Beach OptometryGroup PAC ID 0547482812, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Imperial Beach Optometry

  • Optometrist
  • Imperial Beach, CA
  • NPI 1568864080
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1356754741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 PALM AVE",
            "address_2": "SUITE B",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919321572",
            "telephone_number": "619-424-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 PALM AVE",
            "address_2": "SUITE B",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919321572",
            "telephone_number": "619-424-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANONO",
        "first_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianna Yael Gonzalez Chavez, RDN
• Andrea Gonzalez, LCSW
• Claudia Gonzalez, LCSW
• Daveion Goodson
• Danielle Alexis Gordon, FNP
• Helfon Hanono, O. D.
• Dianna Christine Hansen, LMFT, LAADC
• Danielle Brooke Harvey, ASW
• Ruel Hebron
• Alfred Zimbalist Hill, MPSS, SUDCC

• Optometrist in Imperial Beach, CA
• Providers in Imperial Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; 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.