REGENTS OF THE UNIVERSITY OF CALIFORNIA AT BERKELEY (NPI# 1306908058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306908058 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA AT BERKELEY |
| Other Organization Name | U.C. BERKELEY SCHOOL OF OPTOMETRY |
| Practice Address |
230 Minor Hall Berkeley CA 94720-0001 |
| Practice Telephone | 5106420945 |
| Mailing Telephone | 5106420945 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2010-12-17 |
| Authorized Official Name | DR. EDWARD J. REVELLI (ASSOCIATE DEAN FOR PATIENT CARE) |
| Authorized Official Telephone | 5106420945 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GSD000370 | 05 |
| Other Name | Type Code |
|---|---|
| U.C. BERKELEY SCHOOL OF OPTOMETRY | Other Name - Individual/Organization |
| Street Address |
230 MINOR HALL |
| City | BERKELEY |
| State | CA |
| Zip Code | 94720-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619049285 | Vikki V. Yu | Optometrist | 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720 | 2006-11-15 |
| 1154949899 | Thuy-trang Nguyen | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2020-07-09 |
| 1023662269 | Ghazal Naseri | Optometrist | 230 Minor Hall, Berkeley, CA 94720-0001 | 2019-07-25 |
| 1538685342 | Teresa Ngoc Nguyen | Optometrist | 230 Minor Hall, Berkeley, CA 94720-0001 | 2017-08-15 |
| 1619498656 | Celia R Gong | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2017-06-29 |
| 1861946576 | Mengli Han | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2016-08-10 |
| 1427330885 | Linh Le | Optometrist | 230 Minor Hall, Berkeley, CA 94720-2020 | 2011-09-12 |
| 1629103247 | Dennis William Fong | Optometrist | 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720-0001 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609352798 | Richard Phan | Optometrist | 200 Minor Ln, Berkeley, CA 94720 | 2018-07-12 |
| 1184082067 | Carmen Lee | Registered Nurse | 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 | 2016-02-05 |
| 1922355148 | Cynthia Medina | Counselor | 2222 Bancroft Way #4300, Berkeley, CA 94720 | 2012-08-07 |
| 1811199615 | Ellen De Neef | Physical Therapist | 2222 Bancroft, Berkeley, CA 94720 | 2007-06-04 |
| 1427185529 | Margaret Anne Fisher | Nurse Practitioner | 2222 Bancroft Ave, Berkeley, CA 94720 | 2007-02-27 |
| 1801992755 | Robert K Osborne Dds & Assoc Inc | Dentist | 1177 South Main St, North Canton, OH 94720 | 2006-09-16 |
| 1790234680 | Kelsey Lindquist | Specialist/Technologist | 185 Haas Pavilion, Berkeley, CA 94720 | 2016-10-03 |
| 1932654043 | Tara Pahlevan-chaleshtari | Optometrist | 200 Minor Hall, Berkeley, CA 94720 | 2016-08-18 |
| 1700136157 | Veronica Orozco | Psychologist | 2222 Bancroft Way, Berkeley, CA 94720 | 2012-09-13 |
| 1881950921 | Elizabeth Gorelick | Registered Nurse | 2222 Bancroft, Berkeley, CA 94720 | 2012-04-03 |
| Find all providers in zip 94720 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780208330 | Grace Tseng | Optometrist | 200 Minor Hall University of California At Berkeley, Berkeley, CA 94720-0001 | 2020-05-29 |
| 1194368829 | Yasaman Kahrobaei | Optometrist | 2230 Durant Ave Apt 312, Berkeley, CA 94704-1546 | 2019-10-25 |
| 1194379917 | Yiyi Wang | Optometrist | 230 Minor Hall Berkeley Ca 94720, Berkeley, CA 94720-0001 | 2019-07-30 |
| 1578117404 | Kristi Choy | Optometrist | Uc Berkeley School of Optometry 230 Minor Hall Mc-2020, Berkeley, CA 94720-0001 | 2019-07-29 |
| 1184287641 | Your Two Eyes Optometry Inc. | Optometrist | 2110 Vine St Ste B, Berkeley, CA 94709-1577 | 2019-04-19 |
| 1699254714 | Kenneth Duy Tran | Optometrist | 200 Minor Hall Uc Berkeley School of Optometry, Berkeley, CA 94720-0001 | 2018-08-09 |
| 1609352798 | Richard Phan | Optometrist | 200 Minor Ln, Berkeley, CA 94720 | 2018-07-12 |
| 1972025302 | Crystal T Wang | Optometrist | 200 Minor Lane, Berkeley, CA 94720-2020 | 2017-07-07 |
| 1053867820 | Ying Zhao | Optometrist | 2632 Warring Street #10, Berkeley, CA 94704 | 2016-08-31 |
| 1528441086 | Alfred Vong | Optometrist | 230 Minor Hall Mc 2020, Berkeley, CA 94720-2020 | 2015-07-02 |
| Find all providers in BERKELEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.