Hitomi Ezumi, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

15139TLG Issued in CA

Practice address

1313 Solano Ave
Albany, CA 94706-1825

Phone

(510) 526-0194

NPI assigned

Jul 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berkeley California Optometric, IncGroup PAC ID 5991084329, 2 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 and National Provider Directory roles.

• Berkeley California Optometric, Inc

  dba Albany Berkeley Optometry

  • Optometrist
  • Albany, CA
  • NPI 1518314962
  Medicare reassignment Care Compare group NPD
• East Bay Eye Centers Medical Corporation

  • Specialist
  • San Ramon, CA
  • NPI 1780633644
  NPD (past)

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1447692462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 SOLANO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 SOLANO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061825",
            "telephone_number": "510-526-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZUMI",
        "first_name": "HITOMI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15139TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER NUMBER",
            "identifier": "12564555",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert A Epstein, PHD
• Linna Ernst Cheng
• Laurie McCullough Estes, DDS, MSD
• Bozhena Evans, LCSW
• Jonah Ewell, L.AC.
• Danielle Fast, PHARMD
• Tova Feldmanstern, M.S.W.
• Ozben Felek, LAC
• Jennifer Finch, L.AC.
• Neil A. Fiore, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.