Organization Active NPI

Christopher C Hair Optometric

Doing business as Agoura Family Optometry

  • Optometrist
  • Agoura Hills, CA
National Provider Identifier
1821262197
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT4966 Issued in CA
Legal business name
CHRISTOPHER C HAIR OPTOMETRIC
Doing business as
Agoura Family Optometry
Practice address
5849 Kanan Rd
Agoura Hills, CA 91301-1651
Phone
(818) 865-2020
Fax
(818) 865-2031
NPI assigned
Apr 17, 2008
Last updated
Nov 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Lilly Roberts
Title
Office Manager
Phone
(818) 865-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT4966 CA Primary

Addresses

Primary practice location

5849 Kanan Rd
Agoura Hills, CA 91301-1651

Mailing address

5849 Kanan Rd
Agoura Hills, CA 91301-1651
Phone (818) 865-2020

Other names 1

  • Agoura Family Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041213001063 CA Part B Supplier - Clinic/Group Practice 0840257614 Receives reassigned benefits from 1 practitioner
Practice locations: Agoura Hills, CA

National Provider Directory

National Provider Directory

Locations

5849 Kanan Rd
Agoura Hills, CA 91301
Phone (818) 865-2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1821262197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5849 KANAN RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011651",
            "telephone_number": "818-865-2020",
            "fax_number": "818-865-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5849 KANAN RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011651",
            "telephone_number": "818-865-2020",
            "fax_number": "818-865-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER C HAIR OPTOMETRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "LILLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-865-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT4966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agoura Family Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.