Individual provider Active NPI

Douglas L Major, O.D.

  • Vision Therapy Optometrist
  • Paso Robles, CA
National Provider Identifier
1386678860
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
8275T Issued in CA
Practice address
1112 Vine St
Paso Robles, CA 93446-5505
Phone
(805) 238-1001
Fax
(805) 237-1057
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 8275T CA Primary

Addresses

Primary practice location

1112 Vine St
Paso Robles, CA 93446-5505

Mailing address

1112 Vine St
Paso Robles, CA 93446-5505
Phone (805) 238-1001

Other identifiers 4

IdentifierTypeStateIssuer
3737OtherCAMESC
CAP112960OtherCACA CHILDRENS SERVICES
GSD001440MedicaidCA
SD0062080MedicaidCA

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
I20110517000343 CA Practitioner - Optometry 7113036237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gary L Englund OD ApcGroup PAC ID 8628012697, 7 clinicians

Practice addresses (Care Compare)

1112 Vine St
Suite B
Paso Robles, CA 93446-5506
Phone (805) 238-1001

Merit-based Incentive Payment System (MIPS)

Final score
16.73 of 100Reported as individual
Quality
33.46
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8275CAMDProfessional Counselor
8275TCAMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gary L. Englund, OD, Apc Vision Therapy CurrentSince Nov 17, 1977 Accepting new patients
Gary L. Englund, OD, Apc Vision Therapy CurrentSince Nov 17, 1977 Accepting new patients

Locations

2231 Bayview Heights Dr
Los Osos, CA 93402
Phone (805) 528-5333

1112 Vine St
Ste B
Paso Robles, CA 93446
Phone (805) 238-1001

1112 Vine St
Paso Robles, CA 93446
Phone (805) 238-1001

Organizations & group practices 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1386678860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 VINE ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934465505",
            "telephone_number": "805-238-1001",
            "fax_number": "805-237-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 VINE ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934465505",
            "telephone_number": "805-238-1001",
            "fax_number": "805-237-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJOR",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "8275T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MESC",
            "identifier": "3737",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA CHILDRENS SERVICES",
            "identifier": "CAP112960",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD001440",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0062080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

Verify at the official NPI Registry.