Active NPI
Kerry W H Feng, OD
- Optometrist
- San Leandro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT35875
- Practice address
- 15251 E 14TH St # B
San Leandro, CA 94578-1905 - Phone
- (510) 481-2121
- NPI assigned
- Nov 8, 2024
- Last updated
- Nov 8, 2024
- Sex
- Male
- 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 | OPT35875 | CA | Primary |
Addresses
Primary practice location
15251 E 14TH St # B
San Leandro, CA 94578-1905
Mailing address
1331 136TH Ave
San Leandro, CA 94578-2549
Phone (510) 463-7652
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11780 San Pablo Ave
Suite B
El Cerrito, CA 94530-7103
Phone (510) 234-1730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35875 | CA | MD | Marriage & Family Therapist |
| OPT35875 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geronimo & Leong, Professional Optometric Corporation | Optometrist | Current | Accepting new patients |
| Fifth Optometric Care of California | Optometrist | Current | Accepting new patients |
| Richard Wu, O.D., a Professional Corporation | Optometrist | Current | Accepting new patients |
| Fifth Optometric Care of California | Optometrist | Current | Accepting new patients |
| Fifth Optometric Care of California | Optometrist | Current | Accepting new patients |
| Fifth Optometric Care of California | Optometrist | Past | Accepting new patients |
Locations
11780 San Pablo Ave
Ste B
El Cerrito, CA 94530
Phone (510) 234-1730
3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564
15251 E 14th St
#B
San Leandro, CA 94578
Phone (510) 481-2121
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.
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- NPI 1215627914
-
dba West County Optometry
- Optometrist
- El Cerrito, CA
- NPI 1548022510
-
dba Taft Eye Care Optometric Center
- Optometrist
- Taft, CA
- NPI 1699504746
-
- Optometrist
- San Leandro, CA
- NPI 1144394057
-
dba Family Focus Optometry
- Optometrist
- Pleasanton, CA
- NPI 1457185787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1447074216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 136TH AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945782549",
"telephone_number": "510-463-7652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15251 E 14TH ST # B",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945781905",
"telephone_number": "510-481-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENG",
"first_name": "KERRY",
"middle_name": "W H",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-08",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT35875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.