NPIMap

Organization Active NPI

Society for the Blind

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1083718100
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SOCIETY FOR THE BLIND
Practice address
1238 S St
Sacramento, CA 95811-7112
Phone
(916) 452-8271
Fax
(916) 492-2487
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Penny Riley
Title
Director of Clinic Services
Phone
(916) 452-8271

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X
Developmentally Disabled Services Day Training Agency 251C00000X

Addresses

Primary practice location

1238 S St
Sacramento, CA 95811-7112

Mailing address

1238 S St
Sacramento, CA 95811-7112
Phone (916) 452-8271

Other identifiers 1

IdentifierTypeStateIssuer
ZZR11669FMedicaidCA

Other names 1

  • Society for the Blind, Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091209000565 CA Part B Supplier - Clinic/Group Practice 4789723446 Receives reassigned benefits from 7 practitioners
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Locations

2750 24th St
Sacramento, CA 95818
Phone (916) 452-8271

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1083718100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 S ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958117112",
            "telephone_number": "916-452-8271",
            "fax_number": "916-492-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 S ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958117112",
            "telephone_number": "916-452-8271",
            "fax_number": "916-492-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIETY FOR THE BLIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC SERVICES",
        "authorized_official_telephone_number": "916-452-8271"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR11669F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Society for the Blind, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.