Andrew Joseph Fasciani, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14012 Issued in CA

Practice address

1349 Camino del Mar
Del Mar, CA 92014-2553

Phone

(858) 755-5484

NPI assigned

Jul 14, 2010

Last updated

Jul 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

Specialty

Optometry

Education

Southern California College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

4S Optometric GroupGroup PAC ID 7315252046, 3 clinicians

Del Mar Optometric GroupGroup PAC ID 1355734286, 3 clinicians

Indian Health Council IncGroup PAC ID 5294644795, 21 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: afasciani713039@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 4S Optometric Group

  • Optometrist
  • San Diego, CA
  • NPI 1881944262
  Medicare reassignment Care Compare group NPD
• Del Mar Optometric Group

  • Optometrist
  • Del Mar, CA
  • NPI 1770243891
  Medicare reassignment Care Compare group NPD
• Indian Health Council, Inc

  • Federally Qualified Health Center (FQHC)
  • Valley Center, CA
  • NPI 1861449522
  Medicare reassignment Care Compare group NPD
• Hawaii Pacific Neuroscience

  • Neurology Physician
  • Honolulu, HI
  • NPI 1003054578
  NPD (past)

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1508179979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 CAMINO DEL MAR",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142553",
            "telephone_number": "858-755-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 CAMINO DEL MAR",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142553",
            "telephone_number": "858-755-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASCIANI",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Sullivan Evans, LMFT
• Evolve Growth Initiatives LLC
• Bettina Experton, M.D.
• Lucinda Evans Faison-Olsen, MFT
• Edward Farajzadeh, DDS
• Jamie Marc Ferguson, DDS
• Katie Fermanian
• Kevin Thomas Fitzpatrick, D.D.S., M.S.
• Hattie Fleming, OTD
• Tessa Floodberg, SLP

• Optometrist in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.