NPIMap

Organization Active NPI

Bakersfield Optometric Group

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1669738845
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13064T Issued in CA
Legal business name
BAKERSFIELD OPTOMETRIC GROUP
Practice address
11320 Ming Ave
Suite 360
Bakersfield, CA 93311-1304
Phone
(661) 847-9870
Fax
(661) 847-9871
NPI assigned
Apr 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Dr. Stan C Yang, O.D.NPI 1528144961
Title
Ceo
Phone
(661) 847-9870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13064T CA Primary

Addresses

Primary practice location

11320 Ming Ave
Suite 360
Bakersfield, CA 93311-1304

Mailing address

11320 Ming Ave
Suite 360
Bakersfield, CA 93311-1304
Phone (661) 847-9870

Other names 1

  • Bakersfield Eye Care Optometric Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121024000204 CA Part B Supplier - Clinic/Group Practice 9436309697 Receives reassigned benefits from 4 practitioners
Practice locations: Taft, CA; Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

11320 Ming Ave
Ste 360
Bakersfield, CA 93311
Phone (661) 847-9870

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1669738845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11320 MING AVE",
            "address_2": "SUITE 360",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111304",
            "telephone_number": "661-847-9870",
            "fax_number": "661-847-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11320 MING AVE",
            "address_2": "SUITE 360",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111304",
            "telephone_number": "661-847-9870",
            "fax_number": "661-847-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKERSFIELD OPTOMETRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "STAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-847-9870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13064T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bakersfield Eye Care Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.