Organization Active NPI

Katherine Makayed, O.D., Inc.

  • Optometrist
  • Morgan Hill, CA
National Provider Identifier
1689325409
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KATHERINE MAKAYED, O.D., INC.
Practice address
17190 Monterey Rd Ste 100
Morgan Hill, CA 95037-3604
Phone
(408) 779-5584
NPI assigned
Jan 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Katherine Makayed, ODNPI 1245741537
Title
President
Phone
(408) 779-5584

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 Primary

Addresses

Primary practice location

17190 Monterey Rd Ste 100
Morgan Hill, CA 95037-3604

Mailing address

17190 Monterey Rd Ste 100
Morgan Hill, CA 95037-3604
Phone (408) 779-5584

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220131001388 CA Part B Supplier - Clinic/Group Practice 5698168425 Receives reassigned benefits from 1 practitioner
Practice locations: Morgan Hill, CA

National Provider Directory

National Provider Directory

Locations

17190 Monterey Rd
Ste 100
Morgan Hill, CA 95037
Phone (408) 779-5584

Practitioners & affiliated clinicians

Practitioners 1

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": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1689325409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17190 MONTEREY RD STE 100",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950373604",
            "telephone_number": "408-779-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17190 MONTEREY RD STE 100",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950373604",
            "telephone_number": "408-779-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE MAKAYED, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "MAKAYED",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-779-5584",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.