Active NPI
Csreder MD,Inc
- Ophthalmology Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- CSREDER MD,INC
- Practice address
- 1680 E Herndon Ave
Ste 101
Fresno, CA 93720-3305 - Phone
- (559) 432-4200
- Fax
- (559) 432-0147
- NPI assigned
- Oct 17, 2005
- Last updated
- Dec 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chad Sherwood Reder, MD
- Title
- President
- Phone
- (559) 432-4200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NU | Primary |
Addresses
Primary practice location
1680 E Herndon Ave
Ste 101
Fresno, CA 93720-3305
Mailing address
1680 E Herndon Ave
Ste 101
Fresno, CA 93720-3305
Phone (559) 432-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0099900 | Medicaid | CA |
Other names 1
- Valley Eye Institute Medical Clinic
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CREDER@Valleyeinstitute.intellechartdirect.net |
National Provider Directory
National Provider DirectoryLocations
115 N Irwin St
Hanford, CA 93230
Phone (559) 432-4200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Fresno, CA
- NPI 1336138924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607472000000",
"number": "1073502654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 E HERNDON AVE",
"address_2": "STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203305",
"telephone_number": "559-432-4200",
"fax_number": "559-432-0147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 E HERNDON AVE",
"address_2": "STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203305",
"telephone_number": "559-432-4200",
"fax_number": "559-432-0147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CSREDER MD,INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-17",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A",
"authorized_official_last_name": "REDER",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "SHERWOOD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-432-4200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0099900",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "CREDER@Valleyeinstitute.intellechartdirect.net",
"affiliation": "N",
"address_1": "1680 E Herndon Ave",
"address_2": "Ste 101",
"city": "Fresno",
"state": "CA",
"country_code": "US",
"postal_code": "937203305",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Valley Eye Institute Medical Clinic",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Valley Eye Institute Medical Clinic",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.