Individual provider Active NPI

Eric Ramos, OD

  • Optometrist
  • Fallbrook, CA
National Provider Identifier
1952461600
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT10550T Issued in CA
Practice address
645 E Elder St
Ste. D
Fallbrook, CA 92028-3084
Phone
(760) 728-9440
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT10550T CA Primary

Addresses

Primary practice location

645 E Elder St
Ste. D
Fallbrook, CA 92028-3084

Mailing address

645 E Elder St
Ste. D
Fallbrook, CA 92028-3084
Phone (760) 728-9440

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
I20110830000358 CA Practitioner - Optometry 5092707760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

645 E Elder St
Suite D
Fallbrook, CA 92028-3084
Phone (760) 728-9440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT10550TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric J Ramos, a Proffesional Corp Optometrist CurrentSince Jun 20, 2011 Accepting new patients

Locations

645 E Elder St
Ste D
Fallbrook, CA 92028
Phone (760) 728-9440

Organizations & group practices 1

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1952461600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E ELDER ST",
            "address_2": "STE. D",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283084",
            "telephone_number": "760-728-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 E ELDER ST",
            "address_2": "STE. D",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283084",
            "telephone_number": "760-728-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "ERIC",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT10550T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

Verify at the official NPI Registry.