Organization Active NPI

Alina Kagan OD, a Professional Corporation

Doing business as Family Eye Center Optometry

  • Optometrist
  • Belmont, CA
National Provider Identifier
1750761656
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11666T Issued in CA
Legal business name
ALINA KAGAN OD, A PROFESSIONAL CORPORATION
Doing business as
Family Eye Center Optometry
Practice address
1601 El Camino Real
Ste 302
Belmont, CA 94002-3948
Phone
(650) 654-2015
Fax
(650) 654-2014
NPI assigned
Jun 5, 2015
Last updated
Jun 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Alina Kagan, ODNPI 1053454249
Title
Owner/Optometrist
Phone
(650) 654-2015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11666T CA Primary

Addresses

Primary practice location

1601 El Camino Real
Ste 302
Belmont, CA 94002-3948

Mailing address

1601 El Camino Real
Ste 302
Belmont, CA 94002-3948
Phone (650) 654-2015

Other names 1

  • FAMILY EYE CENTER OPTOMETRY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150903000227 CA Part B Supplier - Clinic/Group Practice 1658687876 Practice locations: Belmont, CA

National Provider Directory

National Provider Directory

Locations

1601 El Camino Real
Belmont, CA 94002
Phone (650) 595-5437

1601 El Camino Real
Ste 302
Belmont, CA 94002
Phone (650) 592-6565

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1750761656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 EL CAMINO REAL",
            "address_2": "STE 302",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023948",
            "telephone_number": "650-654-2015",
            "fax_number": "650-654-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 EL CAMINO REAL",
            "address_2": "STE 302",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023948",
            "telephone_number": "650-654-2015",
            "fax_number": "650-654-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALINA KAGAN OD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "650-654-2015",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11666T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY EYE CENTER OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belmont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.