NPIMap

Organization Active NPI

Third Optometric Care of California PC

Doing business as El Cerrito Optometry

  • Optometrist
  • El Cerrito, CA
National Provider Identifier
1699351148
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
THIRD OPTOMETRIC CARE OF CALIFORNIA PC
Doing business as
El Cerrito Optometry
Practice address
180 El Cerrito PLZ
El Cerrito, CA 94530-4002
Phone
(510) 526-2242
NPI assigned
Mar 23, 2021
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

180 El Cerrito PLZ
El Cerrito, CA 94530-4002

Mailing address

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

Other names 1

  • El Cerrito Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210427002381 CA Part B Supplier - Clinic/Group Practice 8325456536 Receives reassigned benefits from 28 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Auburn, CA; Buena Park, CA; Elk Grove, CA; Irvine, CA; Ojai, CA; Palmdale, CA; Rancho Cordova, CA; Rialto, CA…

Other NPIs on the same Medicare enrollment 12

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

National Provider Directory

National Provider Directory

Locations

180 El Cerrito Plz
El Cerrito, CA 94530
Phone (510) 526-2242

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1699351148",
    "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": "180 EL CERRITO PLZ",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945304002",
            "telephone_number": "510-526-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD OPTOMETRIC CARE OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "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": [
        {
            "organization_name": "El Cerrito Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "El Cerrito Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cerrito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.