Individual provider Active NPI

Kenneth Randall Hall, O.D.

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1831115542
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05400T Issued in CA
Practice address
383 Sacramento St
San Francisco, CA 94111-3601
Phone
(415) 781-2020
Fax
(415) 391-2502
NPI assigned
Jul 14, 2006
Last updated
Aug 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05400T CA Primary

Addresses

Primary practice location

383 Sacramento St
San Francisco, CA 94111-3601

Mailing address

383 Sacramento St
San Francisco, CA 94111-3601
Phone (415) 781-2020

Other identifiers 1

IdentifierTypeStateIssuer
05400TOtherCACAL L ICENSE

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
I20140522002325 CA Practitioner - Optometry 8527295856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hall and Szeto OptometristsGroup PAC ID 4082841317, 3 clinicians

Practice addresses (Care Compare)

383 Sacramento St
San Francisco, CA 94111-3601
Phone (415) 781-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05400TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hall & Szeto Optometrists Optometrist CurrentSince Jun 1, 2006 Accepting new patients

Locations

383 Sacramento St
San Francisco, CA 94111
Phone (415) 781-2020

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1831115542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 SACRAMENTO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113601",
            "telephone_number": "415-781-2020",
            "fax_number": "415-391-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 SACRAMENTO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113601",
            "telephone_number": "415-781-2020",
            "fax_number": "415-391-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KENNETH",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "05400T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAL L ICENSE",
            "identifier": "05400T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.