Individual provider Active NPI

Angela Tam, OD

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1568537496
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11287T Issued in CA
Practice address
529 Hayes St
San Francisco, CA 94102-4213
Phone
(415) 553-6166
Fax
(415) 553-6168
NPI assigned
Nov 24, 2006
Last updated
May 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11287T CA Primary

Addresses

Primary practice location

529 Hayes St
San Francisco, CA 94102-4213

Mailing address

529 Hayes St
San Francisco, CA 94102-4213
Phone (415) 553-6166

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
I20040902000968 CA Practitioner - Optometry 6305812280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Through the Hayes Optometry IncGroup PAC ID 3971764226, 2 clinicians

Practice addresses (Care Compare)

584 Hayes St
San Francisco, CA 94102-4214
Phone (415) 553-6166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11287TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Through the Hayes Optometry Inc Optometrist CurrentSince May 1, 2011 Accepting new patients
Andrew Calman PastSince Jan 1, 1990 Accepting new patients

Locations

529 Hayes St
San Francisco, CA 94102
Phone (415) 553-6166

584 Hayes St
San Francisco, CA 94102
Phone (415) 553-6166

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1568537496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 HAYES ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024213",
            "telephone_number": "415-553-6166",
            "fax_number": "415-553-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 HAYES ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024213",
            "telephone_number": "415-553-6166",
            "fax_number": "415-553-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11287T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.