Individual provider Active NPI

Deborah Ann Rheam, OD

  • Optometrist
  • Mountain View, CA
National Provider Identifier
1912973280
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6777TPL Issued in CA
Practice address
495 Castro St
Mountain View Optometry & Contact Lens Clinic
Mountain View, CA 94041-2086
Phone
(650) 967-6649
Fax
(650) 967-0237
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6777TPL CA Primary

Addresses

Primary practice location

495 Castro St
Mountain View Optometry & Contact Lens Clinic
Mountain View, CA 94041-2086

Mailing address

495 Castro St
Mountain View Optometry & Contact Lens Clinic
Mountain View, CA 94041-2086
Phone (650) 967-6649

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6777TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fourth Optometric Care of California Optometrist Past Accepting new patients
Fourth Optometric Care of California Optometrist PastSince Apr 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1912973280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 CASTRO ST",
            "address_2": "MOUNTAIN VIEW OPTOMETRY & CONTACT LENS CLINIC",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940412086",
            "telephone_number": "650-967-6649",
            "fax_number": "650-967-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CASTRO ST",
            "address_2": "MOUNTAIN VIEW OPTOMETRY & CONTACT LENS CLINIC",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940412086",
            "telephone_number": "650-967-6649",
            "fax_number": "650-967-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEAM",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6777TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.