Organization Active NPI

Murrieta Optometry Inc

  • Optometrist
  • Livermore, CA
National Provider Identifier
1952482820
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT11158TPA Issued in CA
Legal business name
MURRIETA OPTOMETRY INC
Practice address
1171 Murrieta Blvd Ste 100
Livermore, CA 94550-4143
Phone
(925) 443-3553
Fax
(925) 447-8500
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Authorized official

Name
Dr. Scott Marshall Kamena, ODNPI 1487734505
Title
President
Phone
(925) 443-3553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT11158TPA CA Primary

Addresses

Primary practice location

1171 Murrieta Blvd Ste 100
Livermore, CA 94550-4143

Mailing address

1171 Murrieta Blvd Ste 100
Livermore, CA 94550-4143
Phone (925) 443-3553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040727000927 CA Part B Supplier - Clinic/Group Practice 8729058995 Receives reassigned benefits from 4 practitioners
Practice locations: Livermore, CA

National Provider Directory

National Provider Directory

Locations

1171 Murrieta Blvd
Ste 100
Livermore, CA 94550
Phone (925) 443-3553

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1952482820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 MURRIETA BLVD STE 100",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504143",
            "telephone_number": "925-443-3553",
            "fax_number": "925-447-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 MURRIETA BLVD STE 100",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504143",
            "telephone_number": "925-443-3553",
            "fax_number": "925-447-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRIETA OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "KAMENA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-443-3553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT11158TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.