NPIMap

Organization Active NPI

Fourth Optometric Care of California

  • Optometrist
  • Mountain View, CA
National Provider Identifier
1689248874
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FOURTH OPTOMETRIC CARE OF CALIFORNIA
Practice address
495 Castro St
Mountain View, CA 94041-2086
Phone
(650) 967-6649
Fax
(650) 967-0237
NPI assigned
May 13, 2021
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Brittany Harrison
Title
Director
Phone
(512) 316-4603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

495 Castro St
Mountain View, CA 94041-2086

Mailing address

3333 Quality Dr
Rancho Cordova, CA 95670-7985
Phone (916) 407-7156

Other practice location 1

5385 Walnut Ave
Chino, CA 91710-2605
Phone (909) 627-8523

Other practice location 2

946 Manhattan Beach Blvd
Manhattan Beach, CA 90266-5120
Phone (310) 545-4585

Other practice location 3

2653 Gateway Rd Ste 101
Carlsbad, CA 92009-1758
Phone (760) 476-1921

Other practice location 4

648 Jenevein Ave
San Bruno, CA 94066-4230
Phone (650) 871-1816

Other practice location 5

4074 Hardwick St
Lakewood, CA 90712-2349
Phone (562) 633-6443

Other practice location 6

7379 Indiana Ave
Riverside, CA 92504-4547
Phone (951) 684-7822

Other practice location 7

20929 Ventura Blvd Ste 23
Woodland Hills, CA 91364-3352
Phone (818) 883-4303

Other practice location 8

130 S Main St Ste F
Orange, CA 92868-2869
Phone (714) 939-9202

Other practice location 9

15068 Goldenwest St
Westminster, CA 92683-6152
Phone (714) 898-5631

Other practice location 10

4505 Sepulveda Blvd
Torrance, CA 90505-2207
Phone (310) 792-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230315000196 CA Part B Supplier - Clinic/Group Practice 6305210345 Receives reassigned benefits from 48 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carlsbad, CA; Woodland Hills, CA; Westminster, CA; Torrance, CA; San Bruno, CA; Riverside, CA; Rancho Cordova, CA; Orange, CA…

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Fourth Optometric Care of California12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

648 Jenevein Ave
San Bruno, CA 94066
Phone (650) 583-9888

15068 Goldenwest St
Westminster, CA 92683
Phone (714) 898-5631

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1689248874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 QUALITY DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707985",
            "telephone_number": "916-407-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CASTRO ST",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940412086",
            "telephone_number": "650-967-6649",
            "fax_number": "650-967-0237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5385 Walnut Ave",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917102605",
            "country_code": "US",
            "telephone_number": "909-627-8523",
            "fax_number": "909-627-5183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "946 Manhattan Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902665120",
            "country_code": "US",
            "telephone_number": "310-545-4585",
            "fax_number": "310-546-3240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2653 Gateway Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920091758",
            "country_code": "US",
            "telephone_number": "760-476-1921",
            "fax_number": "760-476-2784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "648 Jenevein Ave",
            "address_purpose": "LOCATION",
            "city": "San Bruno",
            "state": "CA",
            "postal_code": "940664230",
            "country_code": "US",
            "telephone_number": "650-871-1816",
            "fax_number": "650-871-0164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4074 Hardwick St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "907122349",
            "country_code": "US",
            "telephone_number": "562-633-6443",
            "fax_number": "562-633-6939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7379 Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925044547",
            "country_code": "US",
            "telephone_number": "951-684-7822",
            "fax_number": "951-977-8075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20929 Ventura Blvd Ste 23",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913643352",
            "country_code": "US",
            "telephone_number": "818-883-4303",
            "fax_number": "818-883-5331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 S Main St Ste F",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928682869",
            "country_code": "US",
            "telephone_number": "714-939-9202",
            "fax_number": "714-939-0356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15068 Goldenwest St",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926836152",
            "country_code": "US",
            "telephone_number": "714-898-5631",
            "fax_number": "714-898-4771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4505 Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905052207",
            "country_code": "US",
            "telephone_number": "310-792-2020",
            "fax_number": "310-792-2021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOURTH OPTOMETRIC CARE OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-316-4603"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.