Individual provider Active NPI

Anne Grattan, O.D.

  • Optometrist
  • Torrance, CA
National Provider Identifier
1972945913
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15086 Issued in CA
Practice address
22525 Maple Ave Ste 100
Torrance, CA 90505-2700
Phone
(310) 803-9633
Fax
(310) 803-9634
NPI assigned
Jul 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15086 CA Primary

Addresses

Primary practice location

22525 Maple Ave Ste 100
Torrance, CA 90505-2700

Mailing address

PO Box 9602
Mission Hills, CA 91346-9602
Phone (818) 837-5559

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
I20141007000910 CA Practitioner - Optometry 9537389903 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Berkeley Northeastern State University - College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians of Long Beach a Medical Group IncGroup PAC ID 9234124538, 8 clinicians

Practice addresses (Care Compare)

2925 Palo Verde Ave
Long Beach, CA 90815-1552
Phone (562) 799-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15086CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians of Long Beach a Medical Group Inc. Optometrist CurrentSince Nov 13, 2023 Accepting new patients
Advanced Vision Care a California General Partnership CurrentSince Dec 24, 2019 Accepting new patients

Locations

2925 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 421-2757

6285 E Spring St
Long Beach, CA 90808
Phone (562) 204-6026

2080 Century Park E
Ste 911
Los Angeles, CA 90067
Phone (310) 229-1220

1661 Golden Rain Rd
Seal Beach, CA 90740
Phone (562) 493-9581

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: anne.grattan.p1@direct.eplb.nextgenshare.com

Organizations & group practices 3

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": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1972945913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9602",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913469602",
            "telephone_number": "818-837-5559",
            "fax_number": "818-792-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22525 MAPLE AVE STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052700",
            "telephone_number": "310-803-9633",
            "fax_number": "310-803-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRATTAN",
        "first_name": "ANNE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.