Individual provider Active NPI

Steven Israel, OPTOMETRIST

  • Optometrist
  • Lancaster, CA
National Provider Identifier
1689724585
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7966TLG Issued in CA
Practice address
1046 W Avenue K
Lancaster, CA 93534-5918
Phone
(661) 942-7313
Fax
(661) 948-1264
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7966TLG CA Primary

Addresses

Primary practice location

1046 W Avenue K
Lancaster, CA 93534-5918

Mailing address

1046 W Avenue K
Lancaster, CA 93534-5918
Phone (661) 942-7313

Other identifiers 1

IdentifierTypeStateIssuer
SD0079660MedicaidCA

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
I20081106000300 CA Practitioner - Optometry 4789670241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1046 W Ave K
Lancaster, CA 93534-5918
Phone (661) 942-7313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7966TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sabi Israel & Robert F. Collins PTR Optometrist CurrentSince Mar 31, 2004 Accepting new patients

Locations

1046 W Avenue K
Lancaster, CA 93534
Phone (661) 942-7313

Organizations & group practices 1

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1689724585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 W AVENUE K",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345918",
            "telephone_number": "661-942-7313",
            "fax_number": "661-948-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 W AVENUE K",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345918",
            "telephone_number": "661-942-7313",
            "fax_number": "661-948-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7966TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0079660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.