Organization Active NPI

Lighthouse for the Blind and Visually Impaired

  • Low Vision Rehabilitation Optometrist
  • San Francisco, CA
National Provider Identifier
1396856381
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
Legal business name
LIGHTHOUSE FOR THE BLIND AND VISUALLY IMPAIRED
Practice address
1155 Market St FL 10
San Francisco, CA 94103-1540
Phone
(415) 431-1481
NPI assigned
Aug 31, 2006
Last updated
May 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Ms. Sharon Giovinazzo
Title
Ceo
Phone
(415) 694-7346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WL0500X Primary

Addresses

Primary practice location

1155 Market St FL 10
San Francisco, CA 94103-1540

Mailing address

1155 Market St FL 10
San Francisco, CA 94103-1540
Phone (415) 431-1481

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210121002868 CA Part B Supplier - Clinic/Group Practice 5294149894 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: San Francisco, CA; Santa Rosa, 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

Locations

1155 Market St
San Francisco, CA 94103
Phone (415) 694-7306

214 Van Ness Ave
San Francisco, CA 94102
Phone (510) 769-1078

4539 Occidental Rd
Santa Rosa, CA 95401
Phone (415) 431-1481

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1396856381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MARKET ST FL 10",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031540",
            "telephone_number": "415-431-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MARKET ST FL 10",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031540",
            "telephone_number": "415-431-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE FOR THE BLIND AND VISUALLY IMPAIRED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "GIOVINAZZO",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-694-7346",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.