Organization Active NPI

L V Optometry, Inc.

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1497034425
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12878 Issued in CA
Legal business name
L V OPTOMETRY, INC.
Practice address
375 Wilde Ave
San Francisco, CA 94134-2251
Phone
(650) 701-3926
NPI assigned
Aug 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Victoria Feng, O.D.NPI 1629133590
Title
Co-Owner
Phone
(650) 701-3926

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12878 CA Primary

Addresses

Primary practice location

375 Wilde Ave
San Francisco, CA 94134-2251

Mailing address

1075 El Camino Real
Millbrae, CA 94030-2013
Phone (650) 701-3926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110928000658 CA Part B Supplier - Clinic/Group Practice 8022289735 Receives reassigned benefits from 2 practitioners
Practice locations: Millbrae, CA

National Provider Directory

National Provider Directory

Locations

1075 El Camino Real
Millbrae, CA 94030
Phone (650) 701-3926

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1497034425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 EL CAMINO REAL",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302013",
            "telephone_number": "650-701-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WILDE AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941342251",
            "telephone_number": "650-701-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L V OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "FENG",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "650-701-3926",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.