Individual provider Active NPI

Linda Gail Anzalone, OD

  • Optometrist
  • Fairfield, CA
National Provider Identifier
1770542425
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 8417 TLG Issued in CA
Practice address
1329 Oliver Rd
Fairfield, CA 94534
Phone
(707) 429-0301
Fax
(707) 429-0306
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 8417 TLG CA Primary

Addresses

Primary practice location

1329 Oliver Rd
Fairfield, CA 94534

Mailing address

1329 Oliver Rd
Fairfield, CA 94534-3470
Phone (707) 429-0301

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
I20050204000326 CA Practitioner - Optometry 7315998598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solano Eye Care an Optometric CorporationGroup PAC ID 9830299940, 3 clinicians

Practice addresses (Care Compare)

1329 Oliver Rd
Fairfield, CA 94534-3470
Phone (707) 429-0301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 8417 TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Solano Eye Care an Optometric Corporation Optometrist CurrentSince Jul 1, 2007 Accepting new patients

Locations

1329 Oliver Rd
Fairfield, CA 94534
Phone (707) 429-0301

Interoperability endpoints

  • Direct secure messaging: dr.anzalone@solanoeyecare.eyefinity-direct.com

Organizations & group practices 1

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1770542425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 OLIVER RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343470",
            "telephone_number": "707-429-0301",
            "fax_number": "707-429-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 OLIVER RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94534",
            "telephone_number": "707-429-0301",
            "fax_number": "707-429-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZALONE",
        "first_name": "LINDA",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 8417 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.