Individual provider Active NPI

Kiyoka Hansen, OD

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1497189013
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14738 Issued in CA
Practice address
100 1St St #145
San Francisco, CA 94105
Phone
(415) 777-2020
NPI assigned
Aug 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14738 CA Primary

Addresses

Primary practice location

100 1St St #145
San Francisco, CA 94105

Mailing address

635 Dolores St
San Francisco, CA 94110-1526
Phone (510) 508-9711

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140127000124 CA Practitioner - Optometry 7517196306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angela Cheung OD Optometric CorporationGroup PAC ID 4981089430, 5 clinicians

Practice addresses (Care Compare)

3330 Grand Ave
Oakland, CA 94610-2737
Phone (510) 832-3162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Cheung OD Optometric Corporation Optometrist CurrentSince Sep 20, 2024 Accepting new patients

Locations

3330 Grand Ave
Oakland, CA 94610
Phone (510) 832-3162

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1497189013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 DOLORES ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101526",
            "telephone_number": "510-508-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 1ST ST #145",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94105",
            "telephone_number": "415-777-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KIYOKA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.