Pennington Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PENNINGTON OPTOMETRIC CORPORATION

Practice address

2109 Forest Ave Ste 50
Chico, CA 95928-7708

Phone

(530) 342-9644

Fax

(530) 342-7547

NPI assigned

Jul 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Obbie Pennington, ODNPI 1770839664

Title

Owner

Phone

(530) 566-2409

Specialties & licenses 1

Addresses

Other names 1

• Chico Vision Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Obbie Pennington, O.D.

  • Optometrist
  • Chico, CA
  • NPI 1770839664
  Medicare reassignment NPD Authorized official
• Edward Louie Lim, O.D.

  • Optometrist
  • Chico, CA
  • NPI 1104896372
  NPD (past)
• Randall B Watkins, O.D.

  • Optometrist
  • Chico, CA
  • NPI 1396721692
  NPD (past)

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1104443399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 FOREST AVE STE 50",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287708",
            "telephone_number": "530-342-9644",
            "fax_number": "530-342-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 FOREST AVE STE 50",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287708",
            "telephone_number": "530-342-9644",
            "fax_number": "530-342-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNINGTON OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "OBBIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-566-2409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chico Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lesly Penaloza
• Anthony Penca
• Elisa Pendergraft
• Linda Pendleton, PA-C
• Deborah Ann Penner, DC
• Obbie Pennington, O.D.
• Mallory Elisa Penzotti
• Maximus Johannes Peperkamp
• Sydney Pepper, C-FSD
• Ellen Rose Perdue, R.N.

• Optometrist in Chico, CA
• Providers in Chico, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.