Individual provider Active NPI

Nicole Thoa Sava, O.D.

  • Optometrist
  • Hesperia, CA
National Provider Identifier
1992735948
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11731T Issued in CA
Practice address
17497 Main St
Hesperia, CA 92345-6268
Phone
(760) 948-3345
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11731T CA Primary

Addresses

Primary practice location

17497 Main St
Hesperia, CA 92345-6268

Mailing address

17497 Main St
Hesperia, CA 92345-6268
Phone (760) 948-3345

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
I20060914000301 CA Practitioner - Optometry 1557365004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17497 Main St
Hesperia, CA 92345-6268
Phone (760) 948-3345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11731TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Eye Optometry, Inc Optometrist CurrentSince Jul 6, 2006 Accepting new patients

Locations

17497 Main St
Hesperia, CA 92345
Phone (760) 948-3345

15731 Main St
Hesperia, CA 92345
Phone (760) 244-8188

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1992735948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17497 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456268",
            "telephone_number": "760-948-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17497 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456268",
            "telephone_number": "760-948-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVA",
        "first_name": "NICOLE",
        "middle_name": "THOA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11731T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

Verify at the official NPI Registry.