DR. BENJAMIN HANBOK NA (NPI# 1063454130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063454130 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN HANBOK NA |
| Other Name | DR. HANBOK BENJAMIN NA |
| Credential | O.D. |
| Practice Address |
3191 Crow Canyon Pl Suite C San Ramon CA 94583-1349 |
| Practice Telephone | 9252441400 |
| Practice Fax Number | 9252441414 |
| Mailing Telephone | 9252441400 |
| Mailing Fax Number | 9252441414 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 11709TPL | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0117090 | 05 |
| Street Address |
3191 CROW CANYON PL SUITE C |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583-1349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346756855 | Ashley Kadakia | Optometrist | 3191 Crow Canyon Pl, San Ramon, CA 94583-1349 | 2017-12-19 |
| 1952460727 | 20-20 Optometry | Optometrist | 3191 Crow Canyon Pl, Suite C, San Ramon, CA 94583-1349 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
| Find all providers in zip 94583 | ||||
| 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 |
|---|---|---|---|---|
| 1922638709 | Bahareh Hokmabadi | Optometrist | 3118 Lakemont Dr Unit 2, San Ramon, CA 94582-1504 | 2020-01-21 |
| 1316468176 | Michael Duong, Od | Optometrist | 2551 San Ramon Valley Blvd Ste 101, San Ramon, CA 94583-1661 | 2017-07-03 |
| 1497286496 | Andrew Mah | Optometrist | 2837 Yosemite Ave, San Ramon, CA 94583-3438 | 2017-03-22 |
| 1366841017 | Misha Jean Chi | Optometrist | 111 Deerwood Rd Ste 300, San Ramon, CA 94583-2062 | 2014-08-19 |
| 1992001580 | Home Care Optometry | Optometrist | 3302 Ensenada Dr, San Ramon, CA 94583-3010 | 2011-01-31 |
| 1992953194 | Scotthyver Visioncare | Optometrist | 210 Porter Dr, Suite 215, San Ramon, CA 94583-1588 | 2008-09-03 |
| 1265559413 | Sue Ristow Putnam | Optometrist | 175 Marketplace, San Ramon, CA 94583 | 2007-03-23 |
| 1700921426 | Najla Elias Malak-majdalani | Optometrist | 64 Autumnwind Ct, San Ramon, CA 94583-5310 | 2007-02-20 |
| 1881768513 | Fletcher H Thames | Optometrist | 2723 Crow Canyon Rd Ste 102, San Ramon, CA 94583-1635 | 2006-11-17 |
| 1295706018 | San Ramon Optometric Group Inc | Optometrist | 2723 Crow Canyon Rd, # 102, San Ramon, CA 94583 | 2006-01-30 |
| Find all providers in SAN RAMON | ||||
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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.