Fifth Optometric Care of California
Organization Active NPI Optometrist · Elk Grove, CA
NPI 1003598889 · NPPES record last updated Dec 20, 2023
Key facts
- NPI
- 1003598889
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- FIFTH OPTOMETRIC CARE OF CALIFORNIA
- Practice address
- 8246 Laguna Blvd Ste 300
Elk Grove, CA 95758-7972 - Phone
- (916) 684-6688
- NPI assigned
- Aug 2, 2023
- Organization subpart
- No
Authorized official
- Name
- Brittany Harrison
- Title
- Director
- Phone
- (512) 316-4603
Other NPIs on the same Medicare enrollment 10
Corporate family (same tax ID) 10
Practitioners 8
-
Christy Joy Curtis, O.D.
-
Jasmine D Ly, O.D.
-
Sarbjit Mehmi, OD
-
Gyneth Rock, OD
-
Maggie Wong, O.D.
-
Sharon L Yurko, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230808001819 | CA | Part B Supplier - Clinic/Group Practice | 4284096298 |
Receives reassigned benefits from 62 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bakersfield, CA; Turlock, CA; Taft, CA; San Jose, CA; Rancho Cordova, CA; Lake Forest, CA; Elk Grove, CA; El Cerrito, CA… |
National Provider Directory
- Tax ID family
- Fifth Optometric Care O
Locations
417 Center St
Taft, CA 93268
Phone (661) 765-4270
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
8246 Laguna Blvd Ste 300
Elk Grove, CA 95758-7972
Mailing address
3333 Quality Dr
Rancho Cordova, CA 95670-7985
Other names
- EyeOptics Optometry Center
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.