Theresa T Asato, O.D.
Individual provider Active NPI Optometrist · Red Bluff, CA
NPI 1720056880 · NPPES record last updated Apr 11, 2022
Key facts
- NPI
- 1720056880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 8189 (CA)
- Practice address
- 1031 Washington St
Red Bluff, CA 96080-2746 - Phone
- (530) 527-2211
- Fax
- (530) 527-7412
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1031 Washington St
Red Bluff, CA 96080-2746
Phone (530) 527-2211
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) 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 |
|---|---|---|---|---|
| I20051129000880 | CA | Practitioner - Optometry | 0345260857 |
Receives reassigned benefits from 1 practitioner Practice locations: Red Bluff, CA |
| O20120420000484 | CA | DME Supplier - Physician - Optometrist | 1557482726 | Practice locations: Red Bluff, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8189 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enterprise Optometry Group | Optometrist | Past |
Accepting new patients |
| Enterprise Optometry Group Inc. | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8189 | CA | Yes |
Addresses
Primary practice location
1031 Washington St
Red Bluff, CA 96080-2746
Mailing address
1031 Washington St
Red Bluff, CA 96080-2746
Phone (530) 527-2211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1304560002 | Other | MEDICARE NSC | |
| 0081890 | Medicaid | CA |
Other providers in Red Bluff, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2022. 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.