Individual provider Active NPI

Sandra Cheng, OD

  • Optometrist
  • San Mateo, CA
National Provider Identifier
1982711446
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11502T Issued in CA
Practice address
101 South San Mateo Drive
Suite 310
San Mateo, CA 94401-3844
Phone
(650) 342-7474
Fax
(650) 342-9260
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11502T CA Primary

Addresses

Primary practice location

101 South San Mateo Drive
Suite 310
San Mateo, CA 94401-3844

Mailing address

101 South San Mateo Drive
Suite 310
San Mateo, CA 94401-3844
Phone (650) 342-7474

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
I20080519000686 CA Practitioner - Optometry 6800965732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Eye Physicians Medical Group,Inc.Group PAC ID 9032162292, 9 clinicians

Practice addresses (Care Compare)

101 S San Mateo Dr
Suite 310
San Mateo, CA 94401-3844
Phone (650) 342-7474

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
88.66
Promoting interoperability
94
Improvement activities
40
Cost
66.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11502CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Eye Physicians Medical Group,Inc. CurrentSince Aug 14, 2000 Accepting new patients

Locations

101 S San Mateo Dr
Ste 310
San Mateo, CA 94401
Phone (650) 235-7522

Interoperability endpoints

  • Direct secure messaging: scheng218332@hisp.ehr.sutterhealth.org

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1982711446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SOUTH SAN MATEO DRIVE",
            "address_2": "SUITE 310",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013844",
            "telephone_number": "650-342-7474",
            "fax_number": "650-342-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SOUTH SAN MATEO DRIVE",
            "address_2": "SUITE 310",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013844",
            "telephone_number": "650-342-7474",
            "fax_number": "650-342-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "SANDRA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11502T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.