Jeffrey Stewart Ricks, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13393 Issued in CA

Practice address

39931 San Simeon CT
Fremont, CA 94539-3619

Phone

(510) 449-7669

NPI assigned

Aug 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sonoma Eyeworks an Optometric CorporationGroup PAC ID 4082043963, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sonoma Eyeworks an Optometric Corporation

  • Optometrist
  • Santa Rosa, CA
  • NPI 1891330171
  Medicare reassignment Care Compare group NPD Authorized official
• Family Eye Associates

  • Corneal and Contact Management Optometrist
  • Fairfield, CA
  • NPI 1871619973
  NPD (past)
• Family Eye Associates Optometric Group, Inc.

  • Optometrist
  • Fairfield, CA
  • NPI 1528627932
  NPD (past)
• Fred WM Stellhorn Optometric Corporation

  dba Manteca Optometric Eye Care Center

  • Optometrist
  • Manteca, CA
  • NPI 1124290721
  NPD (past)

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187395200000",
    "number": "1043403595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39931 SAN SIMEON CT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393619",
            "telephone_number": "510-449-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39931 SAN SIMEON CT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393619",
            "telephone_number": "510-449-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKS",
        "first_name": "JEFFREY",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-18",
        "last_updated": "2007-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo S. de Ala DMD Inc. (Artist Walk Dental)
• Laura Marie Ricci, BA
• Michael Rice, MFA
• Anya Marquez Richard, M.A.
• Tiffany M Richison
• Katie Riechers
• Ian Riedel
• Jennifer Lynn Rieger, MS, ATC
• Seema Rikhy, MD
• Luke Riley

• Optometrist in Fremont, CA
• Providers in Fremont, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.