Active NPI
Anthony Kravitz, OD
- Optometrist
- Los Angeles, CA
National Provider Identifier
1538245485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5719
- Practice address
- 3157 S Hoover St
Los Angeles, CA 90007-3196 - Phone
- (213) 747-7447
- NPI assigned
- Oct 31, 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 | 5719 | CA | Primary |
Addresses
Primary practice location
3157 S Hoover St
Los Angeles, CA 90007-3196
Mailing address
3157 S Hoover St
Los Angeles, CA 90007-3196
Phone (213) 747-7447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0057190 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1538245485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3157 S HOOVER ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900073196",
"telephone_number": "213-747-7447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3157 S HOOVER ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900073196",
"telephone_number": "213-747-7447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAVITZ",
"first_name": "ANTHONY",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0057190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.