Active NPI
Arthur Siu, O.D.
- Optometrist
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5780
- Practice address
- 290 Grand Ave
Oakland, CA 94610-4791 - Phone
- (510) 451-9157
- Fax
- (510) 451-9160
- NPI assigned
- Jul 17, 2006
- Last updated
- Feb 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5780 | CA | Primary |
Addresses
Primary practice location
290 Grand Ave
Oakland, CA 94610-4791
Mailing address
290 Grand Ave
Oakland, CA 94610-4791
Phone (510) 451-9157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0057801 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winson Ong OD | Optometrist | Current | Accepting new patients |
| Family Optometric Vision Care | Optometrist | Past | Accepting new patients |
Locations
5163 Lone Tree Way
Antioch, CA 94531
Phone (925) 757-5560
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Antioch, CA
- NPI 1508296633
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Antioch, CA
- NPI 1154569234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1942228929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 GRAND AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946104791",
"telephone_number": "510-451-9157",
"fax_number": "510-451-9160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 GRAND AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946104791",
"telephone_number": "510-451-9157",
"fax_number": "510-451-9160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIU",
"first_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0057801",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.