Individual provider Active NPI

Roger A Hayashi, OD

  • Optometrist
  • Fresno, CA
National Provider Identifier
1760442248
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12581T Issued in CA
Practice address
7409 N Cedar Ave
Suite 103
Fresno, CA 93720-3836
Phone
(559) 439-3937
Fax
(559) 431-6676
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12581T CA Primary

Addresses

Primary practice location

7409 N Cedar Ave
Suite 103
Fresno, CA 93720-3836

Mailing address

7409 N Cedar Ave
Suite 103
Fresno, CA 93720-3836
Phone (559) 439-3937

Other identifiers 1

IdentifierTypeStateIssuer
SD0125810MedicaidCA

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
I20050114000481 CA Practitioner - Optometry 2961451117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7409 N Cedar Ave
Suite 103
Fresno, CA 93720-3836
Phone (559) 439-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12581TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Roger a. Hayashi O.D., Inc. Optometrist CurrentSince Jan 3, 2013 Accepting new patients
Akira Tajiri, OD Inc Optometrist Past Accepting new patients
Community Foundation Medical Group PastSince Feb 1, 2016 Accepting new patients
Bryan Eidal, OD Optometric Inc Optometrist PastSince Mar 16, 2010 Accepting new patients

Locations

7409 N Cedar Ave
Ste 103
Fresno, CA 93720
Phone (553) 439-3937

Organizations & group practices 4

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1760442248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 N CEDAR AVE",
            "address_2": "SUITE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203836",
            "telephone_number": "559-439-3937",
            "fax_number": "559-431-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 N CEDAR AVE",
            "address_2": "SUITE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203836",
            "telephone_number": "559-439-3937",
            "fax_number": "559-431-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYASHI",
        "first_name": "ROGER",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12581T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0125810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.