Organization Active NPI

Hacienda Park Optometry, Inc

  • Optometrist
  • Pleasanton, CA
National Provider Identifier
1689932840
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9502T Issued in CA
Legal business name
HACIENDA PARK OPTOMETRY, INC
Practice address
4825 Hopyard Rd Ste F1
Pleasanton, CA 94588-2772
Phone
(925) 227-0400
Fax
(925) 227-0730
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Dr. Linda Anne Cushing, O.D.
Title
President
Phone
(925) 227-0400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 9502T CA Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 9246T CA
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X

Addresses

Primary practice location

4825 Hopyard Rd Ste F1
Pleasanton, CA 94588-2772

Mailing address

4825 Hopyard Rd Ste F1
Pleasanton, CA 94588-2772
Phone (925) 227-0400

National Provider Directory

National Provider Directory

Locations

4825 Hopyard Rd
Ste F1
Pleasanton, CA 94588
Phone (925) 227-0400

Practitioners & affiliated clinicians

Practitioners 2

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": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1689932840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 HOPYARD RD STE F1",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882772",
            "telephone_number": "925-227-0400",
            "fax_number": "925-227-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 HOPYARD RD STE F1",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882772",
            "telephone_number": "925-227-0400",
            "fax_number": "925-227-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACIENDA PARK OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "CUSHING",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-227-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9502T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9246T",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.