Active NPI
Orinda Optometry Group, Inc
- Optometrist
- Orinda, CA
National Provider Identifier
1487843652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12019T
- Legal business name
- ORINDA OPTOMETRY GROUP, INC
- Practice address
- 20 Orinda Way
Orinda, CA 94563-2519 - Phone
- (925) 253-1320
- Fax
- (925) 253-1939
- NPI assigned
- Oct 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristine M Eng, O.D.
- Title
- Owner
- Phone
- (925) 253-1320
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12019T | CA | Primary |
Addresses
Primary practice location
20 Orinda Way
Orinda, CA 94563-2519
Mailing address
20 Orinda Way
Orinda, CA 94563-2519
Phone (925) 253-1320
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811997828 | Other | CA | INDIVIDUAL NPI |
| BA710Z | Other | CA | PTAN |
| 1487843652 | Other | CA | GROUP NPI |
| 1487843652 | Medicaid | CA |
Other names 1
- Orinda Optometry Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3980 San Pablo Dam Rd
Ste 101
El Sobrante, CA 94803
Phone (510) 222-2911
20 Orinda Way
Orinda, CA 94563
Phone (925) 253-1320
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Orinda, CA
- NPI 1811997828
-
- Optometrist
- Berkeley, CA
- NPI 1598485948
-
- Optometrist
- Pinole, CA
- NPI 1972624658
-
- Optometrist
- Orinda, CA
- NPI 1902973027
-
- Optometrist
- Fontana, CA
- NPI 1134560477
-
- Optometrist
- Orinda, CA
- NPI 1346233087
-
- Optometrist
- Fullerton, CA
- NPI 1174670574
-
- Optometrist
- Oakland, CA
- NPI 1700881117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312329600000",
"number": "1487843652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 ORINDA WAY",
"city": "ORINDA",
"state": "CA",
"postal_code": "945632519",
"telephone_number": "925-253-1320",
"fax_number": "925-253-1939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 ORINDA WAY",
"city": "ORINDA",
"state": "CA",
"postal_code": "945632519",
"telephone_number": "925-253-1320",
"fax_number": "925-253-1939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORINDA OPTOMETRY GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-23",
"last_updated": "2011-08-03",
"status": "A",
"authorized_official_last_name": "ENG",
"authorized_official_first_name": "KRISTINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "925-253-1320",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "12019T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1811997828",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "BA710Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1487843652",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487843652",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Orinda Optometry Group",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Orinda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.