Individual provider Active NPI

Kristine M Eng, O.D.

  • Optometrist
  • Orinda, CA
National Provider Identifier
1811997828
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12019T Issued in CA
Practice address
20 Orinda Way
Orinda, CA 94563-2519
Phone
(925) 253-1320
Fax
(925) 253-1939
NPI assigned
Aug 1, 2005
Last updated
Jun 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12019T CA Primary

Addresses

Primary practice location

20 Orinda Way
Orinda, CA 94563-2519

Mailing address

20 Orinda Way
Orinda, CA 94563-2519
Phone (925) 253-1320

Other identifiers 3

IdentifierTypeStateIssuer
1487843652OtherCAGROUP NPI
DO8075OtherCAGROUP PTAN
P00708150OtherCAGROUP MEMBER PTAN

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
I20050526000192 CA Practitioner - Optometry 6608817481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orinda Optometry Group, Inc.Group PAC ID 5799726568, 4 clinicians

Practice addresses (Care Compare)

20 Orinda Way
Orinda, CA 94563-2519
Phone (925) 253-1320

Merit-based Incentive Payment System (MIPS)

Final score
95.02 of 100Reported as group
Quality
90.04
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12019TCAMDOptometrist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1811997828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ORINDA WAY",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632519",
            "telephone_number": "925-253-1320",
            "fax_number": "925-253-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ORINDA WAY",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632519",
            "telephone_number": "925-253-1320",
            "fax_number": "925-253-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENG",
        "first_name": "KRISTINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-01",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12019T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1487843652",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "DO8075",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEMBER PTAN",
            "identifier": "P00708150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orinda, CA

Sources for this page

Verify at the official NPI Registry.