Cara Ann Semino, OD

Key facts

NPI

1780294231

Entity type

Individual (NPI type 1)

Primary specialty

Optometrist 152W00000X

License

35061TLG (CA)

Practice address

3417 Via Lido
Newport Beach, CA 92663-3908

Phone

(949) 673-1883

Fax

(949) 673-1884

NPI assigned

Aug 8, 2020

Sex

Female

Sole proprietor

No

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.

• Ziggy'S Optometry Corporation Optometrist · Newport Beach, CA · NPI 1629223706
  Medicare reassignment Care Compare group NPD CA · OPTOMETRIST
• Riverside-San Bernardino County Indian Health, Inc. Federally Qualified Health Center (FQHC) · Grand Terrace, CA · NPI 1174676670
  Medicare reassignment NPD TX
• Riverside-San Bernardino County Indian Health, Inc Federally Qualified Health Center (FQHC) · Mountain Center, CA · NPI 1366028086
  NPD
• Riverside-San Bernardino County Indian Health, Inc. Federally Qualified Health Center (FQHC) · Grand Terrace, CA · NPI 1720178478
  NPD

Medicare Care Compare profile

Specialty

Optometry

Education

Southern California College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ziggy'S Optometry Corporation (2 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in TX, CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 12, 2023.

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1780294231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 VIA LIDO",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633908",
            "telephone_number": "949-673-1883",
            "fax_number": "949-673-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 VIA LIDO",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633908",
            "telephone_number": "949-673-1883",
            "fax_number": "949-673-1884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11555 1/2 Potrero Rd",
            "address_purpose": "LOCATION",
            "city": "Banning",
            "state": "CA",
            "postal_code": "922206946",
            "country_code": "US",
            "telephone_number": "307-751-7606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEMINO",
        "first_name": "CARA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-08",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "449T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003614",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35061TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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