Dr. Monetta OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

7529T Issued in CA

Legal business name

DR. MONETTA OD

Practice address

2532 Ocean Ave
San Francisco, CA 94132-1614

Phone

(415) 239-2544

Fax

(415) 239-1994

NPI assigned

Feb 16, 2017

Organization subpart

No

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

Authorized official

Name

Robert Monetta, ODNPI 1669523163

Title

Ceo/Owner

Phone

(415) 239-2544

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Robert Alan Monetta, OD

  • Optometrist
  • San Francisco, CA
  • NPI 1669523163
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497916800000",
    "number": "1619416112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 OCEAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321614",
            "telephone_number": "415-239-2544",
            "fax_number": "415-239-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 OCEAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321614",
            "telephone_number": "415-239-2544",
            "fax_number": "415-239-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MONETTA OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-06-20",
        "status": "A",
        "authorized_official_last_name": "MONETTA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "415-239-2544",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7529T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.