Active NPI
Albert Mayer Nemiroff, OD
- Optometrist
- Lancaster, CA
National Provider Identifier
1649322090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT4284TLG
- Practice address
- 2206 W Avenue K14
Lancaster, CA 93536-4611 - Phone
- (661) 722-4222
- NPI assigned
- Jan 17, 2007
- Last updated
- May 5, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT4284TLG | CA | Primary |
Addresses
Primary practice location
2206 W Avenue K14
Lancaster, CA 93536-4611
Mailing address
2206 W Avenue K14
Lancaster, CA 93536-4611
Phone (661) 722-4222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT4284TLG | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1649322090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2206 W AVENUE K14",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935364611",
"telephone_number": "661-722-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2206 W AVENUE K14",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935364611",
"telephone_number": "661-722-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMIROFF",
"first_name": "ALBERT",
"middle_name": "MAYER",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT4284TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.