Individual provider Active NPI

Lauren Veronica Fernandez

  • Optometrist
  • Fresno, CA
National Provider Identifier
1609439454
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34319TLG Issued in CA
Practice address
7825 N Blackstone Ave SPC 101
Fresno, CA 93720-4307
Phone
(559) 500-7685
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34319TLG CA Primary

Addresses

Primary practice location

7825 N Blackstone Ave SPC 101
Fresno, CA 93720-4307

Mailing address

1449 W Fremont Ave
Fresno, CA 93711-1418

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
I20201026001106 CA Practitioner - Optometry 3173943495 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Yamamoto Optometric CorporationGroup PAC ID 2062995889, 2 clinicians
Aloha Family Optometric GroupGroup PAC ID 2264566355, 2 clinicians

Practice addresses (Care Compare)

7215 N 1St St
Suite 101
Fresno, CA 93720-2985
Phone (559) 226-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34319TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Yamamoto Optometric Corporation Optometrist CurrentSince May 3, 2026 Accepting new patients
Avani Patel Optometric Corporation Optometrist CurrentSince Feb 10, 2024 Accepting new patients
Aloha Family Optometric Grou Optometrist CurrentSince Jun 10, 2024 Accepting new patients
Luxottica of America Inc PastSince Sep 10, 2023 Accepting new patients

Locations

4983 N Blackstone Ave
Fresno, CA 93726
Phone (510) 731-7873

7825 N Blackstone Ave
Ste 101
Fresno, CA 93720
Phone (559) 500-7685

7215 N 1st St
Ste 101
Fresno, CA 93720
Phone (559) 226-3937

7825 N Blackstone Ave
Fresno, CA 93720
Phone (510) 457-6300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1609439454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 W FREMONT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937111418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 N BLACKSTONE AVE SPC 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937204307",
            "telephone_number": "559-500-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "LAUREN",
        "middle_name": "VERONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34319TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.