Individual provider Active NPI

Nicholas P. Vrouvas, OD

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1528139284
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5476 Issued in CA
Practice address
450 Sutter St
Suite 1500
San Francisco, CA 94108-4011
Phone
(415) 362-2030
Fax
(415) 362-2327
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5476 CA Primary

Addresses

Primary practice location

450 Sutter St
Suite 1500
San Francisco, CA 94108-4011

Mailing address

450 Sutter St
Suite 1500
San Francisco, CA 94108-4011
Phone (415) 362-2030

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120314000454 CA Practitioner - Optometry 6507025376 Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5476CAMDOptometrist

Interoperability endpoints

  • Direct secure messaging: nvrouvas@goodmaneyecenter.direct.eyemdemr.com

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1528139284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST",
            "address_2": "SUITE 1500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084011",
            "telephone_number": "415-362-2030",
            "fax_number": "415-362-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST",
            "address_2": "SUITE 1500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084011",
            "telephone_number": "415-362-2030",
            "fax_number": "415-362-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VROUVAS",
        "first_name": "NICHOLAS",
        "middle_name": "P.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.