Active NPI
Jeffrey Dean Salman, OD
- Optometrist
- San Rafael, CA
National Provider Identifier
1366474413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9594T
- Practice address
- 1924 4TH St
San Rafael, CA 94901-2697 - Phone
- (415) 457-2020
- Fax
- (415) 457-2047
- NPI assigned
- Jul 7, 2006
- 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 | 9594T | CA | Primary |
Addresses
Primary practice location
1924 4TH St
San Rafael, CA 94901-2697
Mailing address
1924 4TH St
San Rafael, CA 94901-2697
Phone (415) 457-2020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | frontdesk@luminaoptometry.com | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
35 San Anselmo Ave
San Anselmo, CA 94960-2842
Phone (415) 457-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lumina Optometry Incorporated | Optometrist | Current | Accepting new patients |
| Nicholas Kerry & Jeffrey Salman OD | Optometrist | Past | Accepting new patients |
Locations
35 San Anselmo Ave
San Anselmo, CA 94960
Phone (415) 457-2020
1924 4th St
San Rafael, CA 94901
Phone (415) 457-2020
1924 4th St
Ste C
San Rafael, CA 94901
Phone (415) 457-2020
Organizations & group practices 2
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
- San Rafael, CA
- NPI 1275877490
-
- Optometrist
- San Anselmo, CA
- NPI 1952567885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1366474413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 4TH ST",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949012697",
"telephone_number": "415-457-2020",
"fax_number": "415-457-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 4TH ST",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949012697",
"telephone_number": "415-457-2020",
"fax_number": "415-457-2047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALMAN",
"first_name": "JEFFREY",
"middle_name": "DEAN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9594T",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "frontdesk@luminaoptometry.com",
"affiliation": "N",
"endpointDescription": "Organization email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1924 4th St",
"city": "San Rafael",
"state": "CA",
"country_code": "US",
"postal_code": "949012697",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.