Active NPI
Eric J Kawata, O.D.
- Optometrist
- Laguna Niguel, CA
National Provider Identifier
1689708778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 08259T
- Practice address
- 30231 Golden Lantern
Suite B
Laguna Niguel, CA 92677-5989 - Phone
- (949) 495-9336
- Fax
- (949) 495-9364
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 08259T | CA | Primary |
Addresses
Primary practice location
30231 Golden Lantern
Suite B
Laguna Niguel, CA 92677-5989
Mailing address
30231 Golden Lantern
Suite B
Laguna Niguel, CA 92677-5989
Phone (949) 495-9336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN317Y | Other | CA | PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
101 E Lincoln Ave
Suite 103
Anaheim, CA 92805-3203
Phone (714) 535-7515
30231 Golden Lantern
Suite B
Laguna Niguel, CA 92677-5989
Phone (949) 495-9336
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08259T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric J Kawata O D Inc | Optometrist | Current | Accepting new patients |
| Veronica Chu OD Professional Corporation | Optometrist | Past | Accepting new patients |
Locations
101 E Lincoln Ave
Ste 103
Anaheim, CA 92805
Phone (714) 535-7515
Organizations & group practices 3
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.
-
- Optometrist
- Anaheim, CA
- NPI 1760626659
-
- Optometrist
- Laguna Niguel, CA
- NPI 1033387121
-
- Optometrist
- Laguna Niguel, CA
- NPI 1780537373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311552000000",
"number": "1689708778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30231 GOLDEN LANTERN",
"address_2": "SUITE B",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926775989",
"telephone_number": "949-495-9336",
"fax_number": "949-495-9364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30231 GOLDEN LANTERN",
"address_2": "SUITE B",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926775989",
"telephone_number": "949-495-9336",
"fax_number": "949-495-9364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAWATA",
"first_name": "ERIC",
"middle_name": "J",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2011-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "08259T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "AN317Y",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.