Individual provider Active NPI

Lynn N Oku, O.D.

  • Optometrist
  • Redondo Beach, CA
National Provider Identifier
1386614360
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11721T Issued in CA
Practice address
239 Avenida del Norte
Redondo Beach, CA 90277-5702
Phone
(310) 540-5545
Fax
(310) 540-5536
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11721T CA Primary

Addresses

Primary practice location

239 Avenida del Norte
Redondo Beach, CA 90277-5702

Mailing address

239 Avenida del Norte
Redondo Beach, CA 90277-5702
Phone (310) 540-5545

Other identifiers 1

IdentifierTypeStateIssuer
P01125351OtherCAMEDICARE RAILROAD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120210000404 CA Practitioner - Optometry 4789891805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riviera Village Optometry PCGroup PAC ID 4880855378, 2 clinicians

Practice addresses (Care Compare)

239 Avenida del Norte
Redondo Beach, CA 90277-5799
Phone (310) 540-5545

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11721TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Riviera Village Optometry PC Optometrist CurrentSince Jan 1, 2012 Accepting new patients

Locations

239 Avenida del Norte
Redondo Beach, CA 90277
Phone (310) 540-5545

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1386614360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 AVENIDA DEL NORTE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775702",
            "telephone_number": "310-540-5545",
            "fax_number": "310-540-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 AVENIDA DEL NORTE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775702",
            "telephone_number": "310-540-5545",
            "fax_number": "310-540-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKU",
        "first_name": "LYNN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11721T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01125351",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.