Individual provider Active NPI

Dennis E. Ratinoff

  • Optometrist
  • Palo Alto, CA
National Provider Identifier
1922098789
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4888G Issued in CA
Practice address
725 University Ave
Suite a
Palo Alto, CA 94301-2148
Phone
(650) 329-1600
Fax
(650) 329-8474
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 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 4888G CA Primary

Addresses

Primary practice location

725 University Ave
Suite a
Palo Alto, CA 94301-2148

Mailing address

725 University Ave
Suite a
Palo Alto, CA 94301-2148
Phone (650) 329-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4888GCAMDOptometrist
4888CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Optometric Care of Northern California PC Optometrist Current Accepting new patients
First Optometric Care of Northern California PC Optometrist CurrentSince Mar 10, 2021 Accepting new patients
First Optometric Care of Northern California PC Optometrist CurrentSince Mar 10, 2021 Accepting new patients

Locations

725 University Ave
#A
Palo Alto, CA 94301
Phone (650) 329-1600

725 University Ave
Palo Alto, CA 94301
Phone (650) 321-2015

303 Twin Dolphin Dr
Ste 122
Redwood City, CA 94065
Phone (650) 551-9111

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

Organizations & group practices 3

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1922098789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 UNIVERSITY AVE",
            "address_2": "SUITE A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012148",
            "telephone_number": "650-329-1600",
            "fax_number": "650-329-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 UNIVERSITY AVE",
            "address_2": "SUITE A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012148",
            "telephone_number": "650-329-1600",
            "fax_number": "650-329-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATINOFF",
        "first_name": "DENNIS",
        "middle_name": "E.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4888G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.