Organization Active NPI

Bay Vision Eyecare Optometry, Inc.

  • Optometrist
  • Oakland, CA
National Provider Identifier
1376784413
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1313T Issued in CA
Legal business name
BAY VISION EYECARE OPTOMETRY, INC.
Practice address
1749 Broadway
Oakland, CA 94612-2105
Phone
(510) 835-8344
Fax
(510) 835-8346
NPI assigned
Mar 19, 2009
Last updated
Apr 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Dr. Rajleen K Arora, O.D.NPI 1437298577
Title
Presdent
Phone
(510) 835-8344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1313T CA Primary

Addresses

Primary practice location

1749 Broadway
Oakland, CA 94612-2105

Mailing address

1749 Broadway
Oakland, CA 94612-2105
Phone (510) 835-8344

Other identifiers 1

IdentifierTypeStateIssuer
CMCSUBRZWMedicaidCA

National Provider Directory

National Provider Directory

Locations

1741 Broadway
Oakland, CA 94612
Phone (510) 835-8344

1749 Broadway
Oakland, CA 94612
Phone (510) 835-8344

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1376784413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122105",
            "telephone_number": "510-835-8344",
            "fax_number": "510-835-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122105",
            "telephone_number": "510-835-8344",
            "fax_number": "510-835-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY VISION EYECARE OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "RAJLEEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESDENT",
        "authorized_official_telephone_number": "510-835-8344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "1313T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMCSUBRZW",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.