Active NPI
Adolph William Meyer, OD
- Optometrist
- Vacaville, CA
National Provider Identifier
1104885839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4703T
- Practice address
- 2581 Nut Tree Rd Ste C
Vacaville, CA 95687-6915 - Phone
- (707) 447-1332
- NPI assigned
- Mar 21, 2006
- 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 | 4703T | CA | Primary |
Addresses
Primary practice location
2581 Nut Tree Rd Ste C
Vacaville, CA 95687-6915
Mailing address
5055 Business Center Drive
Suite 108 214
Fairfield, CA 94534
Phone (707) 372-6258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217030400000",
"number": "1104885839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 BUSINESS CENTER DRIVE",
"address_2": "SUITE 108 214",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "94534",
"telephone_number": "707-372-6258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2581 NUT TREE RD STE C",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956876915",
"telephone_number": "707-447-1332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "ADOLPH",
"middle_name": "WILLIAM",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2008-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "4703T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.