Individual provider Active NPI

Lauren Leiko Ogata

  • Optometrist
  • Los Alamitos, CA
National Provider Identifier
1790312064
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34779 Issued in CA
Practice address
10771 Los Alamitos Blvd
Los Alamitos, CA 90720-2309
Phone
(562) 795-6111
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 61075768 WA
Optometrist 152W00000X 4522AT OR
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 34779 CA Primary

Addresses

Primary practice location

10771 Los Alamitos Blvd
Los Alamitos, CA 90720-2309

Mailing address

10771 Los Alamitos Blvd
Los Alamitos, CA 90720-2309
Phone (562) 795-6111

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
I20220405000712 CA Practitioner - Optometry 1456747294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yamanaka and Ogata OD IncGroup PAC ID 8325495948, 2 clinicians

Practice addresses (Care Compare)

10771 Los Alamitos Blvd
Los Alamitos, CA 90720-2309
Phone (562) 795-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34779CAMDOptometrist
4522ATORMDOptometrist
61075768WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Yamanaka and Ogata, OD, Inc. Optometrist CurrentSince Jul 25, 2023 Accepting new patients
America'S Best Contacts & Eyeglasses PastSince Jun 1, 2020 Accepting new patients
Katherine Takaki OD PastSince Mar 12, 2022 Accepting new patients

Locations

10771 Los Alamitos Blvd
Los Alamitos, CA 90720
Phone (562) 430-7515

Organizations & group practices 3

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1790312064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10771 LOS ALAMITOS BLVD",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202309",
            "telephone_number": "562-795-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10771 LOS ALAMITOS BLVD",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202309",
            "telephone_number": "562-795-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGATA",
        "first_name": "LAUREN",
        "middle_name": "LEIKO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61075768",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4522AT",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.