Alan E French, OD
Individual provider Active NPI Optometrist · Fortuna, CA
NPI 1699709964 · NPPES record last updated Sep 22, 2008
Key facts
- NPI
- 1699709964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT5668TPL (CA)
- Practice address
- 630 9TH St
Fortuna, CA 95540-2324 - Phone
- (707) 725-5144
- Fax
- (707) 725-3511
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Berkeley Northeastern State University - College of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Humboldt Community Healthcare District
Practice addresses (Care Compare)
509 Elm St
Garberville, CA 95542-3204
Phone (707) 923-3921
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081114000684 | CA | Practitioner - Optometry | 3678633005 |
Reassigns benefits to 1 organization Practice locations: Fortuna, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT5668TPL | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Humboldt Community Healthcare District | Current | Accepting new patients | |
| Southern Humboldt Community Healthcare District | Current |
Accepting new patients | |
| Southern Humboldt Community Healthcare District | Optometrist | Current |
Accepting new patients |
Locations
630 9th St
Fortuna, CA 95540
Phone (707) 725-5144
509 Elm St
Garberville, CA 95542
Phone (707) 463-2400
733 Cedar St
Garberville, CA 95542
Phone (707) 923-3921
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT5668TPL | CA | Yes |
Addresses
Primary practice location
630 9TH St
Fortuna, CA 95540-2324
Mailing address
630 9TH St
Fortuna, CA 95540-2324
Phone (707) 725-5144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4507726 | Medicaid | CA | |
| SD0056680 | Medicaid | CA |
Other providers in Fortuna, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.