Fremont Optometric Vision Care Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

5871 Issued in CA

Legal business name

FREMONT OPTOMETRIC VISION CARE CENTER

Doing business as

Fremont Optometric Vision Care Center

Practice address

3935 Beacon Ave
Suite a
Fremont, CA 94538-1458

Phone

(510) 792-9900

Fax

(510) 792-9906

NPI assigned

May 8, 2007

Last updated

Apr 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eddy Lowe Haw, O.D.

Title

Optometrist

Phone

(510) 792-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FREMONT OPTOMETRIC VISION CARE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Harano & Haw Optometric Corp

  dba Estudillo Plaza Optometry

  • Optometrist
  • San Leandro, CA
  • NPI 1376651067

  O20080529000396

  Same enrollment
• Harano & Haw Optometric Corp

  • Optometrist
  • Fremont, CA
  • NPI 1548448178

  O20080529000396

  Same enrollment
• Harano and Haw Optometric Corporation

  dba Rosemont Optometric Center

  • Optometrist
  • Newark, CA
  • NPI 1902914468

  O20080529000396

  Same enrollment

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1619180171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 BEACON AVE",
            "address_2": "SUITE A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381458",
            "telephone_number": "510-792-9900",
            "fax_number": "510-792-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 BEACON AVE",
            "address_2": "SUITE A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381458",
            "telephone_number": "510-792-9900",
            "fax_number": "510-792-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT OPTOMETRIC VISION CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "HAW",
        "authorized_official_first_name": "EDDY",
        "authorized_official_middle_name": "LOWE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "510-792-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0058710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FREMONT OPTOMETRIC VISION CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fremont Internal Medicine Medical Associates,Inc
• Fremont Medical Group, Inc.
• Fremont Nephrology Prof Corp
• Fremont Neurology Medical Associates Inc a Prof Medical Corp
• Fremont Optometric Group
• Fremont Oral & Maxillofacial Surgery
• Fremont Orthopaedic Medical Group, Apc
• Fremont Pain Treamtment Center
• Fremont Pediatric Med GRP Inc
• Fremont Primary Care Inc

• Optometrist in Fremont, CA
• Providers in Fremont, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.