Organization Active NPI

Lori D. Kam and Stephen K. Ching, O.D.S

  • Optometrist
  • Rancho Cordova, CA
National Provider Identifier
1114128147
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9015T 9223T Issued in CA
Legal business name
LORI D. KAM AND STEPHEN K. CHING, O.D.S
Practice address
2248 Sunrise Blvd.
Rancho Cordova, CA 95670
Phone
(916) 638-3878
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Authorized official

Name
Dr. Stephen Keith Ching, O.D.NPI 1760478028
Title
Owner
Phone
(916) 638-3878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9015T 9223T CA Primary

Addresses

Primary practice location

2248 Sunrise Blvd.
Rancho Cordova, CA 95670

Mailing address

2248 Sunrise Blvd
Rancho Cordova, CA 95670
Phone (916) 987-9661

Other names 1

  • Eye Zone Optometry Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050728001298 CA Part B Supplier - Clinic/Group Practice 3779511951 Receives reassigned benefits from 2 practitioners
Practice locations: Rancho Cordova, CA
O20100930044865 CA DME Supplier - Physician - Optometrist 3779511951 Practice locations: Rancho Cordova, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eye Zone Optometry2248 Sunrise Blvd, Rancho Cordova, CA 95670-4342(916) 638-3878 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Dec 12, 2002

National Provider Directory

National Provider Directory
Tax ID family
Eye Zone Optometry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2248 Sunrise Blvd
Gold River, CA 95670
Phone (916) 638-3878

10063 Folsom Blvd
Sacramento, CA 95827
Phone (916) 363-7359

10063 Folsom Blvd
Ste E
Sacramento, CA 95827
Phone (916) 363-7359

Practitioners & affiliated clinicians

Practitioners 2

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1114128147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 SUNRISE BLVD",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95670",
            "telephone_number": "916-987-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 SUNRISE BLVD.",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95670",
            "telephone_number": "916-638-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI D. KAM AND STEPHEN K. CHING, O.D.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "CHING",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-638-3878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9015T   9223T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Zone Optometry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.