Active NPI
Estella Bowlsby
- Optometrist
- Antioch, CA
National Provider Identifier
1508296633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 14723 TLG
- Practice address
- 5163 Lone Tree Way
Antioch, CA 94531-8689 - Phone
- (925) 757-5560
- NPI assigned
- Nov 27, 2013
- Last updated
- Dec 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 14723 TLG | CA | Primary |
Addresses
Primary practice location
5163 Lone Tree Way
Antioch, CA 94531-8689
Mailing address
5109 Lone Tree Way
Antioch, CA 94531-8484
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
Enrollment records 1
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
Practice addresses (Care Compare)
5109 Lone Tree Way
Antioch, CA 94531-8484
Phone (925) 757-5577
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 14723 TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winson Ong OD | Optometrist | Current | Accepting new patients |
| Family Optometric Vision Care | Optometrist | Past | Accepting new patients |
Locations
5109 Lone Tree Way
Antioch, CA 94531
Phone (925) 757-5560
5163 Lone Tree Way
Antioch, CA 94531
Phone (925) 757-5560
Organizations & group practices 3
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.
-
- Optometrist
- Oakland, CA
- NPI 1942228929
-
- Optometrist
- Antioch, CA
- NPI 1154569234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1508296633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5109 LONE TREE WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5163 LONE TREE WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318689",
"telephone_number": "925-757-5560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLSBY",
"first_name": "ESTELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-27",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 14723 TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.