Individual provider Active NPI

Franklin Bradford Inouye, O..D.

  • Optometrist
  • Hesperia, CA
National Provider Identifier
1780751206
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA10068T Issued in CA
Practice address
15923 Bear Valley Rd
Suite B-100
Hesperia, CA 92345-1750
Phone
(760) 949-6363
Fax
(760) 949-9249
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CA10068T CA Primary

Addresses

Primary practice location

15923 Bear Valley Rd
Suite B-100
Hesperia, CA 92345-1750

Mailing address

15923 Bear Valley Rd
Suite B-100
Hesperia, CA 92345-1750
Phone (760) 949-6363

Other identifiers 1

IdentifierTypeStateIssuer
SD0100681MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4000 Luxottica PL
Mason, OH 45040-8114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA10068TCAMDOptometrist
10068CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Express Optometry, Inc. Optometrist PastSince Apr 15, 2009 Accepting new patients

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1780751206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15923 BEAR VALLEY RD",
            "address_2": "SUITE B-100",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451750",
            "telephone_number": "760-949-6363",
            "fax_number": "760-949-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15923 BEAR VALLEY RD",
            "address_2": "SUITE B-100",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451750",
            "telephone_number": "760-949-6363",
            "fax_number": "760-949-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INOUYE",
        "first_name": "FRANKLIN",
        "middle_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "O..D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA10068T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0100681",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

Verify at the official NPI Registry.