NPIMap

Organization Active NPI

Lewis S Bliss MD

  • Ophthalmology Physician
  • Sacramento, CA
National Provider Identifier
1003084393
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C42178 Issued in CA
Legal business name
LEWIS S BLISS MD
Practice address
5773 Greenback LN
Sacramento, CA 95841-2013
Phone
(916) 863-3143
Fax
(916) 863-3148
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Authorized official

Name
Ms. April Hasson Hillario
Title
Administrator
Phone
(916) 863-2614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X C42178 CA Primary

Addresses

Primary practice location

5773 Greenback LN
Sacramento, CA 95841-2013

Mailing address

5773 Greenback LN
Sacramento, CA 95841-2013
Phone (916) 863-3143

National Provider Directory

National Provider Directory

Locations

6620 Coyle Ave
Ste 200
Carmichael, CA 95608
Phone (916) 863-2613

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1003084393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5773 GREENBACK LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958412013",
            "telephone_number": "916-863-3143",
            "fax_number": "916-863-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5773 GREENBACK LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958412013",
            "telephone_number": "916-863-3143",
            "fax_number": "916-863-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS S BLISS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "HILLARIO",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "HASSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-863-2614",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C42178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.