NPIMap

Organization Active NPI

Penza & Morioka Optometry Inc

Doing business as City Optometry

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1700941853
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT8305TPA Issued in CA
Legal business name
PENZA & MORIOKA OPTOMETRY INC
Doing business as
City Optometry
Practice address
530 Bush St
Suite 101
San Francisco, CA 94108
Phone
(415) 291-8560
Fax
(415) 291-8573
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Dr. Vincent Penza, OD
Title
Authorized and Delegated Official
Phone
(415) 291-8560

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OPT8305TPA CA Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OPT8287TPA CA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 11219TCA CA

Addresses

Primary practice location

530 Bush St
Suite 101
San Francisco, CA 94108

Mailing address

530 Bush St
Suite 101
San Francisco, CA 94108
Phone (415) 291-8560

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ08419ZOtherCABLUE SHIELD

Other names 2

  • CITY OPTOMETRY Doing business as
  • Penza & Morioka Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1700941853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 BUSH ST",
            "address_2": "SUITE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94108",
            "telephone_number": "415-291-8560",
            "fax_number": "415-291-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BUSH ST",
            "address_2": "SUITE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94108",
            "telephone_number": "415-291-8560",
            "fax_number": "415-291-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENZA & MORIOKA OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "PENZA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "AUTHORIZED AND DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "415-291-8560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8305TPA",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8287TPA",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11219TCA",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ08419Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Penza & Morioka",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Penza & Morioka",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.