Individual provider Active NPI

Deborah Lynn Geering-Fend, O.D.

  • Optometrist
  • Torrance, CA
National Provider Identifier
1669553871
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT10490 TPL Issued in CA
Practice address
3858 W Carson St Ste 107
Torrance, CA 90503-6705
Phone
(310) 792-6200
Fax
(310) 792-6223
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT258 AK
Optometrist 152W00000X OPT10490 TPL CA Primary

Addresses

Primary practice location

3858 W Carson St Ste 107
Torrance, CA 90503-6705

Mailing address

3858 W Carson St Ste 107
Torrance, CA 90503-6705
Phone (310) 792-6200

Other practice location 1

103 Fram Street
Petersburg, AK 99833-0589
Phone (907) 772-3076

Other identifiers 1

IdentifierTypeStateIssuer
OPT10490 TPLOtherCAOPTOMETRY LICENSE

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
I20140905000332 CA Practitioner - Optometry 1456451863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3858 W Carson St
Suite 110
Torrance, CA 90503-6705
Phone (310) 792-6200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT258AKMDOptometrist
OPT10490 TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Vision Center a Professional Optometry Corporation Optometrist CurrentSince Jan 2, 2014 Accepting new patients
Kyj Optometry Professional Corporation Optometrist PastSince Jul 5, 2014 Accepting new patients

Locations

3858 W Carson St
Ste 110
Torrance, CA 90503
Phone (310) 792-6200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1669553871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3858 W CARSON ST STE 107",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036705",
            "telephone_number": "310-792-6200",
            "fax_number": "310-792-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3858 W CARSON ST STE 107",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036705",
            "telephone_number": "310-792-6200",
            "fax_number": "310-792-6223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Fram Street",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "AK",
            "postal_code": "998330589",
            "country_code": "US",
            "telephone_number": "907-772-3076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEERING-FEND",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "OPT258",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT10490 TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "OPT10490 TPL",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.