Individual provider Active NPI

Rick Steven Pope, O.D.

  • Optometrist
  • Hayward, CA
National Provider Identifier
1962508135
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 7311 TPL Issued in CA
Practice address
1575 B Street
Hayward, CA 94541-3017
Phone
(510) 581-1430
Fax
(510) 581-7368
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 7311 TPL CA Primary
Corneal and Contact Management Optometrist 152WC0802X OPT 7311 TPL CA
Low Vision Rehabilitation Optometrist 152WL0500X OPT 7311 TPL CA
Pediatric Optometrist 152WP0200X OPT 7311 TPL CA
Sports Vision Optometrist 152WS0006X OPT 7311 TPL CA
Vision Therapy Optometrist 152WV0400X OPT 7311 TPL CA
Occupational Vision Optometrist 152WX0102X OPT 7311 TPL CA

Addresses

Primary practice location

1575 B Street
Hayward, CA 94541-3017

Mailing address

1575 B Street
Hayward, CA 94541-3017
Phone (510) 581-1430

Other identifiers 1

IdentifierTypeStateIssuer
SD0073110MedicaidCA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 7311 TPLCAMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Medical Group PastSince May 1, 2015 Accepting new patients

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1962508135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 B STREET",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413017",
            "telephone_number": "510-581-1430",
            "fax_number": "510-581-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 B STREET",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413017",
            "telephone_number": "510-581-1430",
            "fax_number": "510-581-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "RICK",
        "middle_name": "STEVEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 7311 TPL",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "OPT 7311 TPL",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "OPT 7311 TPL",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "OPT 7311 TPL",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "OPT 7311 TPL",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "OPT 7311 TPL",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CA",
            "license": "OPT 7311 TPL",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0073110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.