NPIMap

Organization Active NPI

Patricia Hernandez Optometric Center Inc

  • Optometrist
  • Oakland, CA
National Provider Identifier
1770049843
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PATRICIA HERNANDEZ OPTOMETRIC CENTER INC
Practice address
4251 Piedmont Ave
Oakland, CA 94611-4713
Phone
(510) 654-4747
NPI assigned
Feb 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Dr. Patricia Rivera Hernandez, O.D.NPI 1609824705
Title
Optometrist /Ceo
Phone
(510) 928-0650

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

4251 Piedmont Ave
Oakland, CA 94611-4713

Mailing address

2849 Kitchener CT
Oakland, CA 94602-3551
Phone (510) 928-0650

Other identifiers 1

IdentifierTypeStateIssuer
1609824705OtherCAMEDICARE

Other names 1

  • Iris Optometric Center Doing business as

National Provider Directory

National Provider Directory

Locations

4251 Piedmont Ave
Oakland, CA 94611
Phone (510) 654-4747

Practitioners & affiliated clinicians

Practitioners 3

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": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1770049843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2849 KITCHENER CT",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946023551",
            "telephone_number": "510-928-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 PIEDMONT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114713",
            "telephone_number": "510-654-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA HERNANDEZ OPTOMETRIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "RIVERA",
        "authorized_official_title_or_position": "OPTOMETRIST /CEO",
        "authorized_official_telephone_number": "510-928-0650",
        "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1609824705",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iris Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.