Individual provider Active NPI

Elena Huber, OD

  • Optometrist
  • Beverly Hills, CA
National Provider Identifier
1922523315
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35099 Issued in CA
Practice address
200 N Robertson Blvd Ste 303
Beverly Hills, CA 90211-6001
Phone
(310) 385-3450
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35099 CA Primary

Addresses

Primary practice location

200 N Robertson Blvd Ste 303
Beverly Hills, CA 90211-6001

Mailing address

547 Brooks Ave Apt a
Venice, CA 90291-6091
Phone (260) 341-7121

Other names 1

  • Elena Schmidt Former name

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
I20220512001836 CA Practitioner - Optometry 1759635733 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Runway Optometry a Professional Optometric Corp. Optometrist CurrentSince Jan 31, 2022 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Apr 3, 2023 Accepting new patients
Modo Optometry a Professional Optometry Corp Optometrist CurrentSince Dec 9, 2022 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Apr 3, 2023 Accepting new patients

Locations

200 N Robertson Blvd
Ste 202
Beverly Hills, CA 90211
Phone (310) 385-3300

200 N Robertson Blvd
Ste 303
Beverly Hills, CA 90211
Phone (310) 385-3450

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

4718 Admiralty Way
#34
Marina del Rey, CA 90292
Phone (310) 200-4222

12751 Millennium
Ste 130
Playa Vista, CA 90094
Phone (310) 582-5501

Interoperability endpoints

  • Direct secure messaging: eschmidt439660@direct.cshs.org

Organizations & group practices 4

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1922523315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 BROOKS AVE APT A",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902916091",
            "telephone_number": "260-341-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N ROBERTSON BLVD STE 303",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902116001",
            "telephone_number": "310-385-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "ELENA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "SCHMIDT",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.