Organization Active NPI

Ohana Eyecare Inc.

  • Optometrist
  • Fairfield, CA
National Provider Identifier
1457643132
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13690 Issued in CA
Legal business name
OHANA EYECARE INC.
Practice address
1420 Travis Blvd
Fairfield, CA 94533-3401
Phone
(707) 425-6333
Fax
(707) 428-1685
NPI assigned
May 12, 2011
Last updated
Feb 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Dr. Kelly Lee, O.D.NPI 1578729273
Title
Owner
Phone
(510) 610-1479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13690 CA Primary

Addresses

Primary practice location

1420 Travis Blvd
Fairfield, CA 94533-3401

Mailing address

135 Calvert CT
Piedmont, CA 94611-3437
Phone (510) 610-1479

National Provider Directory

National Provider Directory

Locations

1420 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-6333

15555 E 14th St
Ste 400
San Leandro, CA 94578
Phone (510) 276-2692

10138 Indianapolis Blvd
Highland, IN 46322
Phone (219) 924-9714

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1457643132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CALVERT CT",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946113437",
            "telephone_number": "510-610-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 TRAVIS BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333401",
            "telephone_number": "707-425-6333",
            "fax_number": "707-428-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA EYECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-610-1479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.