Individual provider Active NPI

Kristin E Symon, OD

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1811243090
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14507 Issued in CA
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

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
14507CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel F Goodman, MD, a Medical Group Inc. CurrentSince Sep 5, 2023 Accepting new patients

Locations

2211 Bush St
Fl 2
San Francisco, CA 94115
Phone (415) 473-3333

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.