Individual provider Active NPI

Katherine S Harano, O.D.

  • Optometrist
  • Fremont, CA
National Provider Identifier
1417947110
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5869 Issued in CA
Practice address
3935 Beacon Ave
Fremont, CA 94538-1458
Phone
(510) 792-9900
Fax
(510) 792-9906
NPI assigned
Oct 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5869 CA Primary

Addresses

Primary practice location

3935 Beacon Ave
Fremont, CA 94538-1458

Mailing address

3935 Beacon Ave
Fremont, CA 94538-1458
Phone (510) 792-9900

Other identifiers 1

IdentifierTypeStateIssuer
SD0058711MedicaidCA

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
I20080605000357 CA Practitioner - Optometry 8820168602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harano and Haw Optometric CorpGroup PAC ID 2769574672, 4 clinicians

Practice addresses (Care Compare)

3935 Beacon Ave
Suite a
Fremont, CA 94538-1458
Phone (510) 792-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harano & Haw Optometric Corp Optometrist Current Accepting new patients
Harano and Haw Optometric Corporation Optometrist Past Accepting new patients

Locations

3935 Beacon Ave
Ste A
Fremont, CA 94538
Phone (510) 792-9900

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1417947110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 BEACON AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381458",
            "telephone_number": "510-792-9900",
            "fax_number": "510-792-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 BEACON AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381458",
            "telephone_number": "510-792-9900",
            "fax_number": "510-792-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARANO",
        "first_name": "KATHERINE",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0058711",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.