Individual provider Active NPI

Helfon Hanono, O. D.

  • Optometrist
  • Imperial Beach, CA
National Provider Identifier
1619942034
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6681-TPG Issued in CA
Practice address
894 Palm Ave
Ste. B
Imperial Beach, CA 91932-1573
Phone
(619) 424-9333
NPI assigned
Feb 20, 2006
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6681-TPG CA Primary

Addresses

Primary practice location

894 Palm Ave
Ste. B
Imperial Beach, CA 91932-1573

Mailing address

894 Palm Ave Ste B
Imperial Beach, CA 91932-1573
Phone (619) 424-9333

Other identifiers 1

IdentifierTypeStateIssuer
SD0066812MedicaidCA

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
I20100318000321 CA Practitioner - Optometry 8527098110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imperial Beach OptometryGroup PAC ID 0547482812, 2 clinicians

Practice addresses (Care Compare)

894 Palm Ave
Suite B
Imperial Beach, CA 91932-1573
Phone (619) 424-9333

Merit-based Incentive Payment System (MIPS)

Final score
64.34 of 100Reported as individual
Quality
26.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6681-TPGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Beach Optometry Optometrist CurrentSince May 14, 2014 Accepting new patients

Locations

894 Palm Ave
Ste B
Imperial Beach, CA 91932
Phone (619) 424-9333

Organizations & group practices 1

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1619942034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 PALM AVE STE B",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919321573",
            "telephone_number": "619-424-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 PALM AVE",
            "address_2": "STE. B",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919321573",
            "telephone_number": "619-424-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANONO",
        "first_name": "HELFON",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6681-TPG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0066812",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial Beach, CA

Sources for this page

Verify at the official NPI Registry.