Individual provider Active NPI

Jay Roy Delaney, O.D.

  • Optometrist
  • San Ramon, CA
National Provider Identifier
1720086135
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT10309T Issued in CA
Practice address
2305 Camino Ramon
#202
San Ramon, CA 94583-1396
Phone
(925) 866-2020
Fax
(925) 866-2026
NPI assigned
Jul 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT10309T CA Primary

Addresses

Primary practice location

2305 Camino Ramon
#202
San Ramon, CA 94583-1396

Mailing address

2305 Camino Ramon
#202
San Ramon, CA 94583-1396
Phone (925) 866-2020

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090109000630 CA Practitioner - Optometry 2769545201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert B Neves MD IncGroup PAC ID 2062572316, 2 clinicians

Practice addresses (Care Compare)

5201 Norris Canyon Rd
Suite 130
San Ramon, CA 94583-5410
Phone (925) 866-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT10309TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert B. Neves, M.D., Inc. CurrentSince Dec 1, 2008 Accepting new patients

Locations

5201 Norris Canyon Rd
Ste 130
San Ramon, CA 94583
Phone (925) 277-1300

2305 Camino Ramon
Ste 202
San Ramon, CA 94583
Phone (925) 866-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1720086135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 CAMINO RAMON",
            "address_2": "#202",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831396",
            "telephone_number": "925-866-2020",
            "fax_number": "925-866-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 CAMINO RAMON",
            "address_2": "#202",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831396",
            "telephone_number": "925-866-2020",
            "fax_number": "925-866-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "JAY",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-09",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT10309T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.