Organization Active NPI

Harano & Haw Optometric Corp

  • Optometrist
  • San Leandro, CA
National Provider Identifier
1376651067
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
58712 Issued in CA
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

Updated by the provider on Nov 29, 2023

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
SD0058712MedicaidCA

Other names 1

  • Estudillo Plaza Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080529000396 CA Part B Supplier - Clinic/Group Practice 2769574672 Receives reassigned benefits from 5 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fremont, CA

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 Optometry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.