NPIMap

Organization Active NPI

East Bay Vision Center Optometry Inc

  • Optometrist
  • Oakland, CA
National Provider Identifier
1699814848
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8533T Issued in CA
Legal business name
EAST BAY VISION CENTER OPTOMETRY INC
Practice address
388 9TH St Ste 157
Oakland, CA 94607-4290
Phone
(510) 268-9600
NPI assigned
Feb 5, 2007
Organization subpart
Yes
Parent organization
EAST BAY VISION CENTER OPTOMETRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Dr. Eileen Lo, O.D.
Title
Medical Director
Phone
(510) 268-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 8533T CA Primary

Addresses

Primary practice location

388 9TH St Ste 157
Oakland, CA 94607-4290

Mailing address

388 9TH St Ste 157
Oakland, CA 94607-4290
Phone (510) 268-9600

Other identifiers 1

IdentifierTypeStateIssuer
SD0085331MedicaidCA

National Provider Directory

National Provider Directory
Part of
East Bay Vision Center Optometry Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1699814848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 9TH ST STE 157",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074290",
            "telephone_number": "510-268-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 9TH ST STE 157",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074290",
            "telephone_number": "510-268-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY VISION CENTER OPTOMETRY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST BAY VISION CENTER OPTOMETRY",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "510-268-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8533T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0085331",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.