Active NPI
Jamie Stonick, OD
- Optometrist
- San Leandro, CA
National Provider Identifier
1073646733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12438T
- Practice address
- 13851 E 14TH St
San Leandro, CA 94578-2631 - Phone
- (510) 357-1211
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12438T | CA | Primary |
Addresses
Primary practice location
13851 E 14TH St
San Leandro, CA 94578-2631
Mailing address
3010 Colby St
Ste 114
Berkeley, CA 94705-2059
Phone (510) 848-1413
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3010 Colby St
Suite 114
Berkeley, CA 94705-2059
Phone (510) 848-1413
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12438T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sorenson & Sorenson MD Inc | Optometrist | Current | Accepting new patients |
Locations
3010 Colby St
Ste 114
Berkeley, CA 94705
Phone (510) 848-1413
Organizations & group practices 1
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": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1073646733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 COLBY ST",
"address_2": "STE 114",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052059",
"telephone_number": "510-848-1413",
"fax_number": "510-848-7347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13851 E 14TH ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945782631",
"telephone_number": "510-357-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONICK",
"first_name": "JAMIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12438T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.