Active NPI
Eric J Kawata O D Inc
- Optometrist
- Anaheim, CA
National Provider Identifier
1760626659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 08259T
- Legal business name
- ERIC J KAWATA O D INC
- Practice address
- 101 E Lincoln Ave
Suite 103
Anaheim, CA 92805-3202 - Phone
- (714) 535-7515
- Fax
- (714) 535-1870
- NPI assigned
- Apr 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric J Kawata, OD
- Title
- President
- Phone
- (714) 535-7515
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 08259T | CA | Primary |
Addresses
Primary practice location
101 E Lincoln Ave
Suite 103
Anaheim, CA 92805-3202
Mailing address
101 E Lincoln Ave
Suite 103
Anaheim, CA 92805-3202
Phone (714) 535-7515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
101 E Lincoln Ave
Ste 103
Anaheim, CA 92805
Phone (714) 535-7515
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Laguna Niguel, CA
- NPI 1689708778
-
- Specialist
- Long Beach, CA
- NPI 1487767190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265241600000",
"number": "1760626659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E LINCOLN AVE",
"address_2": "SUITE 103",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053202",
"telephone_number": "714-535-7515",
"fax_number": "714-535-1870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E LINCOLN AVE",
"address_2": "SUITE 103",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053202",
"telephone_number": "714-535-7515",
"fax_number": "714-535-1870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC J KAWATA O D INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-23",
"last_updated": "2010-02-04",
"status": "A",
"authorized_official_last_name": "KAWATA",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-535-7515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "08259T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.