Katherine Ann Simon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12086T Issued in CA

Practice address

1005 El Camino Real
Suite B3
Redwood City, CA 94063-1692

Phone

(650) 474-2020

Fax

(650) 474-2055

NPI assigned

Jun 13, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pearle Visioncare, Inc

  • Eyewear Supplier
  • Fairfield, CA
  • NPI 1346305323
  NPD (past)
• Pearle Visioncare, Inc

  • Eyewear Supplier
  • Capitola, CA
  • NPI 1508921594
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1487858338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117670",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940117670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 EL CAMINO REAL",
            "address_2": "SUITE B3",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631692",
            "telephone_number": "650-474-2020",
            "fax_number": "650-474-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12086T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sigal Tene,M.D. Inc.
• Stacey Signorello, MA, MFT
• Jacki L Silber, LMFT
• Sarah A Silverman, PSY.D.
• James Willis Simmons II, NP
• Sachet S Simon
• Jacqueline Simoncini, RD CDE
• Kayla Mie Simonson
• John B. Simpson, M.D.
• Cathy Sims, C.A.T.C. 101776

• Optometrist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.