NPIMap

Organization Active NPI

Dr. Zhublawar Optometric Corporation

  • Optometrist
  • Hayward, CA
National Provider Identifier
1598898249
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT12886TLG Issued in CA
Legal business name
DR. ZHUBLAWAR OPTOMETRIC CORPORATION
Practice address
1575 B St
Hayward, CA 94541-3017
Phone
(510) 581-1430
Fax
(510) 581-7368
NPI assigned
Mar 13, 2007
Organization subpart
Yes
Parent organization
DR. ZHUBLAWAR OPTOMETRIC CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Authorized official

Name
Mujda Zhublawar, OPTOMETRIC DOCTORNPI 1154454395
Title
Owner
Phone
(510) 581-1430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT7311T CA
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT12886TLG CA Primary

Addresses

Primary practice location

1575 B St
Hayward, CA 94541-3017

Mailing address

1575 B St
Hayward, CA 94541-3017
Phone (510) 581-1430

Other identifiers 1

IdentifierTypeStateIssuer
SD00731105MedicaidCA

Other names 1

  • The Optometry Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150522001275 CA Part B Supplier - Clinic/Group Practice 7416277959 Receives reassigned benefits from 10 practitioners
Practice locations: Hayward, CA

National Provider Directory

National Provider Directory
Part of
Dr Zhublawar Optometric Corporation

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1598898249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 B ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413017",
            "telephone_number": "510-581-1430",
            "fax_number": "510-581-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 B ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413017",
            "telephone_number": "510-581-1430",
            "fax_number": "510-581-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ZHUBLAWAR OPTOMETRIC CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. ZHUBLAWAR OPTOMETRIC CORP.",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "ZHUBLAWAR",
        "authorized_official_first_name": "MUJDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-581-1430",
        "authorized_official_credential": "OPTOMETRIC DOCTOR"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7311T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12886TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD00731105",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Optometry Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.