Active NPI
Yvonne Macintosh, OPTICIAN
- Optician
- Modesto, CA
National Provider Identifier
1942519145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- SL1455
- Practice address
- 2909 E Hatch Rd
Modesto, CA 95351-4921 - Phone
- (209) 552-6754
- Fax
- (209) 537-4802
- NPI assigned
- Oct 5, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | SL1455 | CA | Primary |
Addresses
Primary practice location
2909 E Hatch Rd
Modesto, CA 95351-4921
Mailing address
2909 E Hatch Rd
Modesto, CA 95351-4921
Phone (209) 552-6754
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL1455 | CA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yvonne Macintosh Transport | Current | Accepting new patients | |
| Macintosh II Transport LLC | Current | Accepting new patients |
Locations
2909 E Hatch Rd
Modesto, CA 95351
Phone (209) 552-6754
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 and National Provider Directory roles.
-
- Transportation Network Company
- Modesto, CA
- NPI 1184367906
-
- Non-emergency Medical Transport (VAN)
- Modesto, CA
- NPI 1013660901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1942519145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2909 E HATCH RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953514921",
"telephone_number": "209-552-6754",
"fax_number": "209-537-4802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 E HATCH RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953514921",
"telephone_number": "209-552-6754",
"fax_number": "209-537-4802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACINTOSH",
"first_name": "YVONNE",
"name_prefix": "Mrs.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-05",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "SL1455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.