Organization Active NPI

Andrew Balfour & Robert Shapiro

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1740357698
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ANDREW BALFOUR & ROBERT SHAPIRO
Practice address
555 S Broadway
Los Angeles, CA 90013-2301
Phone
(213) 627-5911
Fax
(213) 622-8048
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Dr. Robert Lloyd Shapiro, O.D.NPI 1144212531
Title
Partner
Phone
(213) 627-5911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

555 S Broadway
Los Angeles, CA 90013-2301

Mailing address

555 S Broadway
Los Angeles, CA 90013-2301
Phone (213) 627-5911

Other identifiers 1

IdentifierTypeStateIssuer
GSD000430MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100309000061 CA Part B Supplier - Clinic/Group Practice 3274678743 Receives reassigned benefits from 2 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

555 S Broadway
Los Angeles, CA 90013
Phone (213) 627-5911

Practitioners & affiliated clinicians

Practitioners 2

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1740357698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132301",
            "telephone_number": "213-627-5911",
            "fax_number": "213-622-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132301",
            "telephone_number": "213-627-5911",
            "fax_number": "213-622-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW BALFOUR & ROBERT SHAPIRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "213-627-5911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD000430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.