Individual provider Active NPI

Richard Forest Steiner, OD

  • Optometrist
  • San Marcos, CA
National Provider Identifier
1932289071
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT6598 Issued in CA
Practice address
1535 Grand Ave
Suite B
San Marcos, CA 92078-2465
Phone
(760) 736-4148
Fax
(760) 736-8246
NPI assigned
Oct 16, 2006
Last updated
Sep 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT6598 CA Primary

Addresses

Primary practice location

1535 Grand Ave
Suite B
San Marcos, CA 92078-2465

Mailing address

571 Glenheather Dr
San Marcos, CA 92069-2056
Phone (760) 736-4148

Other identifiers 1

IdentifierTypeStateIssuer
1932289071MedicaidCA

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
OPT6598CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1932289071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 GLENHEATHER DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692056",
            "telephone_number": "760-736-4148",
            "fax_number": "760-736-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 GRAND AVE",
            "address_2": "SUITE B",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782465",
            "telephone_number": "760-736-4148",
            "fax_number": "760-736-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINER",
        "first_name": "RICHARD",
        "middle_name": "FOREST",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932289071",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.