Active NPI
Richard Palacios, O.D.
- Optometrist
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT12213
- Practice address
- 9301 Tampa Ave
Lenscrafter in Macys
Northridge, CA 91324-5656 - Phone
- (818) 341-3760
- Fax
- (818) 341-3745
- NPI assigned
- May 10, 2007
- Last updated
- Mar 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT006119 | NY | |
| Optometrist | 152W00000X | OPT12213 | CA | Primary |
Addresses
Primary practice location
9301 Tampa Ave
Lenscrafter in Macys
Northridge, CA 91324-5656
Mailing address
9301 Tampa Ave Unit 62
Northridge, CA 91324-5656
Phone (818) 885-7300
Other practice location 1
9301 Tampa Ave Unit 62
Northridge, CA 91324-5656
Phone (818) 885-7300
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT12213 | CA | MD | Optometrist |
| VUT006119 | NY | MD | Optometrist |
| 12213 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Palacios OD, a Professional Corporation | Optometrist | Current | Accepting new patients |
| Caroline Yokota, O.D., a Professional Corporation | Current | Accepting new patients |
Locations
9301 Tampa Ave
Unit 62
Northridge, CA 91324
Phone (818) 885-7300
21918 Ventura Blvd
Woodland Hills, CA 91364
Phone (818) 888-5450
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Northridge, CA
- NPI 1477003911
-
dba See World Optometry
- Optometrist
- Woodland Hills, CA
- NPI 1336334994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1801000732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 TAMPA AVE UNIT 62",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913245656",
"telephone_number": "818-885-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 TAMPA AVE",
"address_2": "LENSCRAFTER IN MACYS",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913245656",
"telephone_number": "818-341-3760",
"fax_number": "818-341-3745"
}
],
"practiceLocations": [
{
"address_1": "9301 Tampa Ave Unit 62",
"address_purpose": "LOCATION",
"city": "Northridge",
"state": "CA",
"postal_code": "913245656",
"country_code": "US",
"telephone_number": "818-885-7300",
"fax_number": "818-709-2292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALACIOS",
"first_name": "RICHARD",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2024-03-19",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT006119",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT12213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.