NPIMap

Organization Active NPI

For Your Eyes Only Ophthalmic Medical Corp.

  • Optometrist
  • Walnut Creek, CA
National Provider Identifier
1386034452
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
BOL 6807 Issued in CA
Legal business name
FOR YOUR EYES ONLY OPHTHALMIC MEDICAL CORP.
Practice address
1811 Ygnacio Valley Rd
Walnut Creek, CA 94598-3214
Phone
(925) 933-1344
Fax
(925) 946-9701
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Rosalia Saavedra, ODNPI 1518929520
Title
Director
Phone
(510) 483-4770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X BOL 6807 CA Primary

Addresses

Primary practice location

1811 Ygnacio Valley Rd
Walnut Creek, CA 94598-3214

Mailing address

1811 Ygnacio Valley Rd
Walnut Creek, CA 94598-3214
Phone (925) 933-1344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150721001286 CA Part B Supplier - Clinic/Group Practice 4587977426 Receives reassigned benefits from 12 practitioners
1 other NPI on this enrollment
Practice locations: Walnut Creek, CA; Castro Valley, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1386034452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 YGNACIO VALLEY RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983214",
            "telephone_number": "925-933-1344",
            "fax_number": "925-946-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 YGNACIO VALLEY RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983214",
            "telephone_number": "925-933-1344",
            "fax_number": "925-946-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR YOUR EYES ONLY OPHTHALMIC MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA",
        "authorized_official_first_name": "ROSALIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "510-483-4770",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "BOL 6807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.