Provider Type Icon

REGENTS OF THE UNIVERSITY OF CALIFORNIA AT BERKELEY NPI 1306908058


NPI Information

NPI: 1306908058
Provider Name: REGENTS OF THE UNIVERSITY OF CALIFORNIA AT BERKELEY

Other Name: U.C. BERKELEY SCHOOL OF OPTOMETRY

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 05D2194256

Address:
230 MINOR HALL
BERKELEY, CA
ZIP 94720
Phone: (510) 642-0945
Get Directions

REGENTS OF THE UNIVERSITY OF CALIFORNIA AT BERKELEY is an optometrist in Berkeley, CA. The provider is 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. REGENTS OF THE UNIVERSITY OF CALIFORNIA AT BERKELEY NPI is 1306908058. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is U.c. Berkeley School Of Optometry.

The provider's business location address is:

230 MINOR HALL
BERKELEY, CA
ZIP 94720-001
Phone: (510) 642-0945

The provider's authorized official is Patrick Richards .
The authorized official title is Director Of Clinic Fp&a and has the following contact phone number (510) 664-4632.

The CLIA number assigned to this NPI record is 05D2194256 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 9/28/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GSD000370MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.