Individual provider Active NPI

Katherine Ha, OD

  • Optometrist
  • Pomona, CA
National Provider Identifier
1942727243
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33797 Issued in CA
Practice address
648 N Park Ave
Pomona, CA 91768-3621
Phone
(909) 622-3531
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33797 CA Primary

Addresses

Primary practice location

648 N Park Ave
Pomona, CA 91768-3621

Mailing address

21 Old Wood Rd
Pomona, CA 91766-4823

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
I20241209000672 CA Practitioner - Optometry 9436685971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Medical Clinic of Fresno IncGroup PAC ID 1355381740, 15 clinicians

Practice addresses (Care Compare)

1360 E Herndon Ave
Suite 301
Fresno, CA 93720-3326
Phone 55948650002822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33797CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Medical Clinic of Fresno, Inc CurrentSince Nov 22, 2024 Accepting new patients
Eye Medical Clinic of Fresno, Inc. Current Accepting new patients

Locations

1360 E Herndon Ave
Ste 301
Fresno, CA 93720
Phone (559) 449-5060

Interoperability endpoints

  • Direct secure messaging: katherine.ha.p1@direct.californiaeye.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1942727243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 OLD WOOD RD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917664823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683621",
            "telephone_number": "909-622-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.