Steven G. Omoto, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OPT6310TPA Issued in CA

Practice address

7410 Greenhaven Dr
Suite 140
Sacramento, CA 95831-5158

Phone

(916) 421-1278

Fax

(916) 421-5055

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greenhaven Optometry

  • Corneal and Contact Management Optometrist
  • Sacramento, CA
  • NPI 1639426273
  Medicare reassignment NPD Authorized official
• DRS. Omoto and Omoto

  • Corneal and Contact Management Optometrist
  • Sacramento, CA
  • NPI 1801059365
  NPD (past) Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1710054853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 GREENHAVEN DR",
            "address_2": "SUITE 140",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958315158",
            "telephone_number": "916-421-1278",
            "fax_number": "916-421-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 GREENHAVEN DR",
            "address_2": "SUITE 140",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958315158",
            "telephone_number": "916-421-1278",
            "fax_number": "916-421-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOTO",
        "first_name": "STEVEN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "OPT6310TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0063100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• White Omogun
• Ehigie Desmond Omoregie
• Esohe Abel Omoruyi, FNP-C, PMHNPBC
• April S. Omoto, O.D.
• Robert Yukio Omoto, O.D.
• On Key
• On Time
• On-Site MD S Inc
• Deanna T On, PHARM. D.
• Tiffany On

• Corneal and Contact Management Optometrist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.