Michael Aoyama
Individual provider Active NPI Optometrist · Albany, CA
NPI 1518360528 · NPPES record last updated Oct 3, 2014
Key facts
- NPI
- 1518360528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 15131 (CA)
- Practice address
- 603 Santa Fe Ave
Albany, CA 94706-1441 - Phone
- (510) 316-2373
- NPI assigned
- Oct 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- A and B Professional Optometry Corporation
Practice addresses (Care Compare)
3869 Stockdale Hwy
Bakersfield, CA 93309-2188
Phone (661) 831-8952
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150604002989 | CA | Practitioner - Optometry | 9830410646 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15131 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Eye Medical Group Inc | Optometrist | Current |
Accepting new patients |
| A & B Professional Optometry Corporation | Optometrist | Current |
Accepting new patients |
| Scripps Health | Past | Accepting new patients | |
| John T Lindquist O.D. a Professional Corporation | Optometrist | Past | Accepting new patients |
Locations
6000 Physicians Blvd
Ste 205
Bakersfield, CA 93301
Phone (661) 327-4499
3869 Stockdale Hwy
Bakersfield, CA 93309
Phone (661) 831-8952
1001 Tower Way
Ste 150
Bakersfield, CA 93309
Phone (310) 779-3025
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 15131 | CA | Yes |
Addresses
Primary practice location
603 Santa Fe Ave
Albany, CA 94706-1441
Mailing address
603 Santa Fe Ave
Albany, CA 94706-1441
Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.