Trevor Keith Fogg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13318T Issued in CA

Practice address

757 Pacific St
Suite C-1
Monterey, CA 93940-2819

Phone

(831) 372-8181

Fax

(831) 372-7433

NPI assigned

Jul 20, 2007

Last updated

Jun 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of California - School of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barseghian and Fogg Optometrists a Professional CorporationGroup PAC ID 5799916813, 2 clinicians

Ecs of Bay Area Optometry CorporationGroup PAC ID 4082196399, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Barseghian and Fogg Optometrists, a Professional Corporation

  • Optometrist
  • Carmel, CA
  • NPI 1285064014
  Medicare reassignment Care Compare group NPD
• Ecs of Bay Area Optometry Corporation

  • Optometrist
  • Novato, CA
  • NPI 1154207868
  Medicare reassignment Care Compare group
• Hattori Vision Optometry

  • Health Maintenance Organization
  • Monterey, CA
  • NPI 1508305053
  NPD (past)
• Luxottica of America Inc.

  dba Lenscrafters #611

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307750400000",
    "number": "1427258169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 PACIFIC ST",
            "address_2": "SUITE C-1",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402819",
            "telephone_number": "831-372-8181",
            "fax_number": "831-372-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 PACIFIC ST",
            "address_2": "SUITE C-1",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402819",
            "telephone_number": "831-372-8181",
            "fax_number": "831-372-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGG",
        "first_name": "TREVOR",
        "middle_name": "KEITH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2011-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13318T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Flores-Fonseca
• Jacqueline Romero Flores, MD
• Lizbeth Joseline Flores
• Stella Flores, PA-C
• Brianna Floyd
• Amy Barone Folkins, PT
• Joanne Fontanilla
• Cole Fontes, RN
• Lauren Anne Fonti, AMFT, APCC
• Carrie Lee Forrest, PH.D.

• Optometrist in Monterey, CA
• Providers in Monterey, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.