Active NPI
Harano & Haw Optometric Corp
- Optometrist
- San Leandro, CA
National Provider Identifier
1376651067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 58712
- Legal business name
- HARANO & HAW OPTOMETRIC CORP
- Practice address
- 1377 Macarthur Blvd
San Leandro, CA 94577-3918 - Phone
- (510) 357-2020
- Fax
- (510) 357-2086
- NPI assigned
- Aug 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Haw, OD
- Title
- Doctor
- Phone
- (510) 586-0320
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 58712 | CA | Primary |
Addresses
Primary practice location
1377 Macarthur Blvd
San Leandro, CA 94577-3918
Mailing address
1377 Macarthur Blvd
San Leandro, CA 94577-3918
Phone (510) 357-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0058712 | Medicaid | CA |
Other names 1
- Estudillo Plaza Optometry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Estudillo Plaza Optometry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Fremont, CA
- NPI 1548448178
Locations
1377 MacArthur Blvd
San Leandro, CA 94577
Phone (510) 357-2020
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Fremont, CA
- NPI 1679463384
-
- Optometrist
- Castro Valley, CA
- NPI 1255222063
-
- Optometrist
- San Leandro, CA
- NPI 1962799932
-
- Optometrist
- San Leandro, CA
- NPI 1649260027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701216000000",
"number": "1376651067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 MACARTHUR BLVD",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945773918",
"telephone_number": "510-357-2020",
"fax_number": "510-357-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1377 MACARTHUR BLVD",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945773918",
"telephone_number": "510-357-2020",
"fax_number": "510-357-2086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARANO & HAW OPTOMETRIC CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A",
"authorized_official_last_name": "HAW",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "510-586-0320",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "58712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0058712",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Estudillo Plaza Optometry",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 29, 2023; 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.