Active NPI
Peter S. Visendi, O.D.
- Optometrist
- Danville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5475T
- Practice address
- 3464 Camino Tassajara
Danville, CA 94506-4680 - Phone
- (925) 736-4911
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 5475T | CA | Primary |
Addresses
Primary practice location
3464 Camino Tassajara
Danville, CA 94506-4680
Mailing address
3464 Camino Tassajara
Danville, CA 94506-4680
Phone (925) 736-4911
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
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3464 Camino Tassajara
Danville, CA 94506-4680
Phone (925) 736-4911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5475T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danville Optometric Eye Clinic | Current | Accepting new patients | |
| Michael W Ottati, Jr., O.D. Inc | Optometrist | Past | Accepting new patients |
Locations
3464 Camino Tassajara
Danville, CA 94506
Phone (925) 736-4911
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.
-
dba Danville Optometric Group
- Corneal and Contact Management Optometrist
- Danville, CA
- NPI 1750902391
-
- Optometrist
- Danville, CA
- NPI 1710151790
-
dba Diablo Valley Optometric Group
- Optometrist
- Antioch, CA
- NPI 1164406302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248825600000",
"number": "1518029693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3464 CAMINO TASSAJARA",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945064680",
"telephone_number": "925-736-4911",
"fax_number": "925-736-8272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3464 CAMINO TASSAJARA",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945064680",
"telephone_number": "925-736-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISENDI",
"first_name": "PETER",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2009-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5475T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.