Organization Active NPI

Shlyakhov Smiley Optometrists, Inc.

  • Eyewear Supplier
  • Sacramento, CA
National Provider Identifier
1144329640
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
7061T Issued in CA
Legal business name
SHLYAKHOV SMILEY OPTOMETRISTS, INC.
Doing business as
Sacramento Contact Lenses and Optometry, Inc.
Practice address
701 Howe Ave Ste G48
Sacramento, CA 95825-4604
Phone
(916) 921-8080
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Authorized official

Name
Dr. Thomas P. Smiley, O.D.
Title
Secretary
Phone
(916) 921-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 7061T CA Primary

Addresses

Primary practice location

701 Howe Ave Ste G48
Sacramento, CA 95825-4604

Mailing address

701 Howe Ave Ste G48
Sacramento, CA 95825-4604
Phone (916) 921-8080

Other identifiers 1

IdentifierTypeStateIssuer
GSD000820MedicaidCA

Other names 1

  • Sacramento Contact Lenses and Optometry, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

1700 Eureka Rd
Ste 180
Roseville, CA 95661
Phone (916) 212-6025

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1144329640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HOWE AVE STE G48",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254604",
            "telephone_number": "916-921-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HOWE AVE STE G48",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254604",
            "telephone_number": "916-921-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHLYAKHOV SMILEY OPTOMETRISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "SMILEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "916-921-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "7061T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD000820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacramento Contact Lenses and Optometry, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.