Individual provider Active NPI

Gary Teruo Mukai, OD

  • Optometrist
  • Fresno, CA
National Provider Identifier
1972555746
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5743TPA Issued in CA
Practice address
7215 N 1St St
Suite 101
Fresno, CA 93720-2985
Phone
(559) 226-3937
Fax
(559) 226-8305
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT5743TPA CA Primary

Addresses

Primary practice location

7215 N 1St St
Suite 101
Fresno, CA 93720-2985

Mailing address

7215 N 1St St
Suite 101
Fresno, CA 93720-2985
Phone (559) 226-3937

Other identifiers 3

IdentifierTypeStateIssuer
3356OtherCAMEDICAL EYE SERVICES INS
SD0057430MedicaidCA
194427OtherCASAFEGUARD INS

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
I20100811000299 CA Practitioner - Optometry 4981738077 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT5743TPACAMDOptometrist
5743CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Family Optometric Grou Optometrist CurrentSince May 23, 2010 Accepting new patients
Yamamoto Optometric Corporation Optometrist CurrentSince May 3, 2026 Accepting new patients

Locations

7215 N 1st St
Ste 101
Fresno, CA 93720
Phone (559) 226-3937

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1972555746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 N 1ST ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202985",
            "telephone_number": "559-226-3937",
            "fax_number": "559-226-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 N 1ST ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202985",
            "telephone_number": "559-226-3937",
            "fax_number": "559-226-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKAI",
        "first_name": "GARY",
        "middle_name": "TERUO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT5743TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES INS",
            "identifier": "3356",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0057430",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD INS",
            "identifier": "194427",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.