Organization Active NPI

Ingrid a Stevens-Farinas OD Inc

Doing business as Eyecare Galleria Optometry

  • Optometrist
  • Brentwood, CA
National Provider Identifier
1407252562
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
INGRID A STEVENS-FARINAS OD INC
Doing business as
Eyecare Galleria Optometry
Practice address
2300 Sand Creek Rd Ste G2
Brentwood, CA 94513-5651
Phone
(925) 240-8520
Fax
(925) 240-8546
NPI assigned
Nov 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Dr. Ingrid Farinas
Title
Authorized Official/Owner
Phone
(925) 240-8520

Specialties & licenses 1

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

Addresses

Primary practice location

2300 Sand Creek Rd Ste G2
Brentwood, CA 94513-5651

Mailing address

2300 Sand Creek Rd Ste G2
Brentwood, CA 94513-5651
Phone (925) 240-8520

Other names 1

  • Eyecare Galleria Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250918002981 CA Part B Supplier - Clinic/Group Practice 8527562941 Receives reassigned benefits from 2 practitioners
Practice locations: Brentwood, CA

National Provider Directory

National Provider Directory
Tax ID family
Eyecare Galleria Optometry3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1407252562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SAND CREEK RD STE G2",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135651",
            "telephone_number": "925-240-8520",
            "fax_number": "925-240-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SAND CREEK RD STE G2",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135651",
            "telephone_number": "925-240-8520",
            "fax_number": "925-240-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRID A STEVENS-FARINAS OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "FARINAS",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
        "authorized_official_telephone_number": "925-240-8520",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Galleria Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.