Individual provider Active NPI

Dora G Szymanowicz Nagy, O.D.

  • Vision Therapy Optometrist
  • Rancho Cordova, CA
National Provider Identifier
1013204684
Registry record updated Jan 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
14889TLG Issued in CA
Practice address
11260 White Rock Rd
Rancho Cordova, CA 95742
Phone
(916) 724-2265
NPI assigned
Jul 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X TUV007714 NY
Vision Therapy Optometrist 152WV0400X 14889TLG CA Primary

Addresses

Primary practice location

11260 White Rock Rd
Rancho Cordova, CA 95742

Mailing address

11260 White Rock Rd
Rancho Cordova, CA 95742
Phone (916) 724-2265

Other names 1

  • Dora G Szymanowicz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230203000749 CA Practitioner - Optometry 9638341001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redding Vision Care Optometric PracticeGroup PAC ID 4981076775, 3 clinicians

Practice addresses (Care Compare)

4805 Bechelli LN
Redding, CA 96002-3556
Phone (530) 722-3533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14889TLGCAMDVision Therapy Optometrist
TUV007714NYMDVision Therapy Optometrist
14889CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Vision Care Optometric Practice CurrentSince Nov 22, 2022 Accepting new patients
Sierra Vision Care Optometry Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1013204684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 WHITE ROCK RD",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95742",
            "telephone_number": "916-724-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 WHITE ROCK RD",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95742",
            "telephone_number": "916-724-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYMANOWICZ NAGY",
        "first_name": "DORA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "TUV007714",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "14889TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORA",
            "last_name": "SZYMANOWICZ",
            "middle_name": "G",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rancho Cordova, CA

Sources for this page

Verify at the official NPI Registry.