Eliot Kaplan O D Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

6475 Issued in CA

Legal business name

ELIOT KAPLAN O D INC

Practice address

61 Camino Alto Ste 100
Mill Valley, CA 94941-2900

Phone

(415) 381-2020

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Lawrence Eliot KaplanNPI 1497765028

Title

Owner

Phone

(415) 381-2020

Specialties & licenses 1

Addresses

Other names 1

• Mill Valley Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Lawrence Kaplan

  • Optometrist
  • Mill Valley, CA
  • NPI 1497765028
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699056000000",
    "number": "1497953111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 CAMINO ALTO STE 100",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412900",
            "telephone_number": "415-381-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CAMINO ALTO STE 100",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412900",
            "telephone_number": "415-381-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIOT KAPLAN O D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2023-11-04",
        "certification_date": "2023-11-04",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ELIOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-381-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mill Valley Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mill Valley Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2023; 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.