Active NPI
Renisa C Satrijo, O.D.
- Optometrist
- Menlo Park, CA
National Provider Identifier
1407002074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12926
- Practice address
- 700 El Camino Real
160 Menlo Station
Menlo Park, CA 94025-4847 - Phone
- (650) 329-8181
- NPI assigned
- Aug 14, 2008
- Last updated
- Aug 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12926 | CA | Primary |
Addresses
Primary practice location
700 El Camino Real
160 Menlo Station
Menlo Park, CA 94025-4847
Mailing address
700 El Camino Real
160 Menlo Station
Menlo Park, CA 94025-4847
Phone (650) 329-8181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12926 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyeco Optometry PS | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc. | Past | Accepting new patients | |
| Pearle Visioncare, Inc | Past | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients | |
| Vision Plus Inside Snohomish Top Foods PS | Optometrist | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Vision Plus Snohomish
- Optometrist
- Snohomish, WA
- NPI 1780917872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218672000000",
"number": "1407002074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 EL CAMINO REAL",
"address_2": "160 MENLO STATION",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254847",
"telephone_number": "650-329-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 EL CAMINO REAL",
"address_2": "160 MENLO STATION",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254847",
"telephone_number": "650-329-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATRIJO",
"first_name": "RENISA",
"middle_name": "C",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-14",
"last_updated": "2008-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
- Joseph Sarti, L.AC.
- Sara Sarti
- Satellite Healthcare Inc (Satellite Healthcare Menlo Park)
- Satellite Menlo Park, LLC (Satellite Healthcare Menlo Park)
- Christopher Wilkinson Sato-Perry, PSYD
- Jordan Jeffrey Savara, D.C
- Kathryn Saxton, D.O.
- Nicole Sbragia
- Rita Anne Scelfo, SLP CCC
- Joyce G Schmid, PHD, MFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.