Active NPI
Thomas Riggio, O.D.
- Optometrist
- Cool, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14774
- Practice address
- 5020 Ellinghouse Dr
Ste a
Cool, CA 95614-9569 - Phone
- (530) 887-8048
- Fax
- (877) 721-2722
- NPI assigned
- Sep 23, 2013
- Last updated
- May 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 14774 | CA | Primary |
Addresses
Primary practice location
5020 Ellinghouse Dr
Ste a
Cool, CA 95614-9569
Mailing address
5020 Ellinghouse Dr
Ste a
Cool, CA 95614-9569
Phone (530) 333-1730
Other practice location 1
5020 Ellinghouse Dr Ste A
Cool, CA 95614
Phone (530) 887-8048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6121840 | Medicaid | CA |
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
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5020 Ellinghouse Dr
Suite a
Cool, CA 95614-9569
Phone (530) 887-8048
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Eyecare Associates | Optometrist | Current | Accepting new patients |
| Sierra Eyecare Associates | Optometrist | Current | Accepting new patients |
Locations
817 Court St
Ste 10
Jackson, CA 95642
Phone (209) 223-2020
4 Jean St
Ste 1
Valley Springs, CA 95252
Phone (209) 772-9798
Organizations & group practices 2
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.
-
- Optometrist
- Valley Springs, CA
- NPI 1164594461
-
- Optometrist
- Jackson, CA
- NPI 1699854158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1104252147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5020 ELLINGHOUSE DR",
"address_2": "STE A",
"city": "COOL",
"state": "CA",
"postal_code": "956149569",
"telephone_number": "530-333-1730",
"fax_number": "530-333-1913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5020 ELLINGHOUSE DR",
"address_2": "STE A",
"city": "COOL",
"state": "CA",
"postal_code": "956149569",
"telephone_number": "530-887-8048",
"fax_number": "877-721-2722"
}
],
"practiceLocations": [
{
"address_1": "5020 Ellinghouse Dr Ste A",
"address_purpose": "LOCATION",
"city": "Cool",
"state": "CA",
"postal_code": "95614",
"country_code": "US",
"telephone_number": "530-887-8048",
"fax_number": "877-721-2722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIGGIO",
"first_name": "THOMAS",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-23",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6121840",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cool, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.