Active NPI
Kristin E Symon, OD
- Optometrist
- San Francisco, CA
National Provider Identifier
1811243090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14507
- Practice address
- 2211 Bush St FL 2
San Francisco, CA 94115-3121 - Phone
- (415) 474-3333
- NPI assigned
- Jul 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14507 | CA | Primary |
Addresses
Primary practice location
2211 Bush St FL 2
San Francisco, CA 94115-3121
Mailing address
2211 Bush St FL 2
San Francisco, CA 94115-3121
Phone (415) 474-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14507 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel F Goodman, MD, a Medical Group Inc. | Current | Accepting new patients |
Locations
2211 Bush St
Fl 2
San Francisco, CA 94115
Phone (415) 473-3333
Interoperability endpoints
- ksymon@goodmaneyecenter.direct.eyemdemr.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.
-
- Ophthalmology Physician
- San Francisco, CA
- NPI 1265520993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1811243090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 BUSH ST FL 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153121",
"telephone_number": "415-474-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 BUSH ST FL 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153121",
"telephone_number": "415-474-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYMON",
"first_name": "KRISTIN",
"middle_name": "E",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-25",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.