Glen Yukio Ozawa, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 00011802T Issued in CA

Practice address

4598 S Tracy Blvd
130
Tracy, CA 95377-8106

Phone

(209) 835-1181

Fax

(209) 835-9396

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.17 of 100Reported as group

Quality

86.93

Promoting interoperability

100

Improvement activities

40

Cost

72.6

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gozawa14441@alamedahs.direct-ci.com

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.

• Alameda Health System

  • Surgery Physician
  • Oakland, CA
  • NPI 1740332931
  Medicare reassignment Care Compare group NPD
• Castro Valley Optometry Group, Inc.

  • Optometrist
  • Castro Valley, CA
  • NPI 1073817060
  Medicare reassignment NPD
• Regents of the University of California at Berkeley

  • Optometrist
  • Berkeley, CA
  • NPI 1306908058
  Medicare reassignment NPD
• Alameda Health System

  • Federally Qualified Health Center (FQHC)
  • Hayward, CA
  • NPI 1023219821
  NPD
• Alameda Health System

  • Federally Qualified Health Center (FQHC)
  • Newark, CA
  • NPI 1497956288
  NPD
• Richard Sequeira Et Al PTRS

  • Optometrist
  • Castro Valley, CA
  • NPI 1780890962
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1922046994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 THORNTON ST",
            "address_2": "308",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774836",
            "telephone_number": "510-614-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4598 S TRACY BLVD",
            "address_2": "130",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778106",
            "telephone_number": "209-835-1181",
            "fax_number": "209-835-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZAWA",
        "first_name": "GLEN",
        "middle_name": "YUKIO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 00011802T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BP271Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisol Ortiz
• Shannon Ortiz
• Alondra Oseguera
• Ahmed Osman
• Sebastian Oviedo
• Jasmeen Kaur Pabla, DMD
• Achyut Raj Pachalla
• Pacific Medical, Inc.
• Pacific Medical, Inc.
• Alexander Lawrence Padilla-Harrold

• Optometrist in Tracy, CA
• Providers in Tracy, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.