Individual provider Active NPI

Seiju E Terada, O.D.

  • Corneal and Contact Management Optometrist
  • Fountain Valley, CA
National Provider Identifier
1992862676
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
7856T Issued in CA
Practice address
10130 Warner Ave Ste J
Fountain Valley, CA 92708-1619
Phone
(714) 965-5130
Fax
(714) 965-8265
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 7856T CA Primary

Addresses

Primary practice location

10130 Warner Ave Ste J
Fountain Valley, CA 92708-1619

Mailing address

10130 Warner Ave Ste J
Fountain Valley, CA 92708-1619
Phone (714) 965-5130

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
I20100616000562 CA Practitioner - Optometry 9133259203 Reassigns benefits to 2 organizations
Practice locations: Fountain Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1010 W la Veta Ave
Suite 175
Orange, CA 92868-4301
Phone (714) 633-5696

Merit-based Incentive Payment System (MIPS)

Final score
80.67 of 100Reported as group
Quality
93.87
Promoting interoperability
100
Improvement activities
40
Cost
41.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7856TCAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Eye Associates CurrentSince Jun 17, 2018 Accepting new patients
Nhat Le-Huynh, O.D., a Professional Corporation CurrentSince Jan 1, 2019 Accepting new patients

Locations

10130 Warner Ave
Fountain Valley, CA 92708
Phone (714) 965-5130

10130 Warner Ave
Ste J
Fountain Vly, CA 92708
Phone (714) 965-5130

23961 Calle de la Magdalena
Ste 300
Laguna Hills, CA 92653
Phone (949) 837-1891

1010 W La Veta Ave
Ste 175
Orange, CA 92868
Phone (714) 633-5696

1801 W Olympic Blvd
#2096
Pasadena, CA 91199

665 Camino de los Mares
Ste 102
San Clemente, CA 92673
Phone (714) 493-7330

665 Camino de los Mares
Ste 102103
San Clemente, CA 92673
Phone (949) 951-2020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992862676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 WARNER AVE STE J",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081619",
            "telephone_number": "714-965-5130",
            "fax_number": "714-965-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 WARNER AVE STE J",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081619",
            "telephone_number": "714-965-5130",
            "fax_number": "714-965-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERADA",
        "first_name": "SEIJU",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "7856T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.