Individual provider Active NPI

David Ray Norcott, OD

  • Optometrist
  • Auburn, CA
National Provider Identifier
1093898710
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT8552TPG Issued in CA
Practice address
3211 Fortune Court
Auburn, CA 95602
Phone
(530) 885-6241
Fax
(530) 885-0144
NPI assigned
Oct 24, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT8552TPG CA Primary

Addresses

Primary practice location

3211 Fortune Court
Auburn, CA 95602

Mailing address

3211 Fortune Court
Auburn, CA 95602
Phone (530) 885-6241

Other identifiers 1

IdentifierTypeStateIssuer
SD0085520MedicaidCA

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
I20080208000516 CA Practitioner - Optometry 7719060094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2831 J St
Sacramento, CA 95816-4315
Phone (916) 442-5126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT8552TPGCAMDOptometrist
8552CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Eye Care Associates Optometrist CurrentSince Mar 1, 2013 Accepting new patients
Eye Center Optometrics, a Professional Corporation Optometrist Current Accepting new patients
Eyecenter Optometrics, a Professional Corporation Optometrist CurrentSince Dec 1, 2023 Accepting new patients
Auburn Eye Care Associates Optometrist CurrentSince Mar 1, 2013 Accepting new patients
Eye Center Optometrics, a Professional Corporation Optometrist CurrentSince Dec 1, 2023 Accepting new patients
Eye Center Optometrics, a Professional Corporation Optometrist Past Accepting new patients

Locations

3211 Fortune Ct
Auburn, CA 95602
Phone (530) 885-6241

3211 Fortune Ct
Ste A
Auburn, CA 95602
Phone (530) 885-6241

5959 Greenback Ln
Ste 130
Citrus Hts, CA 95621
Phone (916) 726-1818

421 Blue Ravine Rd
Ste 300
Folsom, CA 95630
Phone (916) 452-4706

2200 Sunrise Blvd
Ste 120
Gold River, CA 95670
Phone (916) 852-1600

6809 Five Star Blvd
Ste 100A
Rocklin, CA 95677
Phone (916) 624-2020

2831 J St
Sacramento, CA 95816
Phone (916) 441-5800

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093898710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 FORTUNE COURT",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95602",
            "telephone_number": "530-885-6241",
            "fax_number": "530-885-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 FORTUNE COURT",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95602",
            "telephone_number": "530-885-6241",
            "fax_number": "530-885-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORCOTT",
        "first_name": "DAVID",
        "middle_name": "RAY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8552TPG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0085520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

Verify at the official NPI Registry.