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LIVERMORE OPTOMETRY GROUP
NPI 1114062635
Optometrist in Livermore, CA

Active since February 21, 2007
1800 4TH ST, LIVERMORE, CA 94550(925) 447-3883(925) 447-2957 Get Directions Write a Review

NPPES record last updated: June 27, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Livermore Optometry Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVERMORE OPTOMETRY GROUP (NPI 1114062635) is a healthcare organization registered as an optometrist in Livermore, California and active in the NPI registry since February 2007. The organization lists Steven Faith, Owner, as its authorized official.

NPPES Registry Identity

NPI1114062635
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLIVERMORE OPTOMETRY GROUP
Location Address1800 4TH STLivermore, CA 94550-4454
Mailing Address1800 4th StLivermore, CA 94550-4454 · (925) 447-3883 · Fax (925) 447-2957
Phone(925) 447-3883
Fax(925) 447-2957
Organization SubpartNo
Authorized OfficialSteven FaithOwner · (925) 447-3883
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJune 27, 2013
✔ NPI 1114062635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
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.
1800 4TH ST, Livermore, CA 94550
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Other Identifiers 3

MedicaidYYY49017YCA
Medicare PINYYY49017YCA
Medicare NSC0442220001

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Livermore Optometry Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Livermore Optometry Group, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians, nearest first (11)

Steven Faith, O.D.
Optometry
NPI 1518040690
1800 4TH ST
Livermore, CA 94550
(925) 447-3883
✔ PECOSSame address
Pamela Jetter, OD
Optometry
NPI 1497270193
1800 4TH ST
Livermore, CA 94550
(925) 447-3883
✔ PECOSSame address
Shawna Kuntz, O.D.
Optometry
NPI 1831271428
1800 4TH ST
Livermore, CA 94550
(925) 447-3883
✔ PECOSSame address
Jonathan Pham, OD
Optometry
NPI 1821724873
1800 FOURTH ST
Livermore, CA 94550
(925) 447-3883
✔ PECOSSame address
Andrea Melendez-Ngo, O.D.
Optometry
NPI 1932299328
1800 FOURTH ST
Livermore, CA 94550
(925) 447-3883
✔ PECOSSame address
Melanie Mason, O.D.
Optometry
NPI 1891082913
1800 4TH ST
Livermore, CA 94550
(925) 447-3883
✔ PECOSSame address
Michelle Morales, OD
Optometry
NPI 1598280877
1800 FOURTH ST
Livermore, CA 94550
(925) 447-3883
✔ PECOSSame address
Teresa Yim, O.D.
Optometry
NPI 1003969650
1800 4TH ST
Livermore, CA 94550
(925) 447-3883
✔ PECOSSame address
Allen Luong, OD
Optometry
NPI 1326622796
4050 DUBLIN BLVD
Dublin, CA 94568
(510) 498-2857
✔ PECOS5.8 mi
Steven Perry, OD
Optometry
NPI 1821571043
4028 DALE RD STE 102
Modesto, CA 95356
(209) 527-2020
✔ PECOS✔ Accepts Medicare40 mi
Justin Duong-Mac, OD
Optometry
NPI 1568089738
4150 CLEMENT ST
San Francisco, CA 94121
(415) 221-4810
✔ PECOS✔ Accepts Medicare41 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Livermore Optometry Group's NPI number?

The NPI number for Livermore Optometry Group is 1114062635. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Livermore Optometry Group located?

Livermore Optometry Group is located at 1800 4th St, Livermore, CA 94550. The listed phone number is (925) 447-3883.

What is Livermore Optometry Group's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Livermore Optometry Group enrolled in Medicare?

Yes. Livermore Optometry Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Livermore Optometry Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Optometry, reassign their Medicare billing to Livermore Optometry Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Livermore Optometry Group accept?

Health plans from BlueCross BlueShield of Tennessee list Livermore Optometry Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Livermore Optometry Group was last updated on June 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.