Organization Active NPI

Precision Eyecare Optometry Placerville Inc

  • Clinic/Center
  • Placerville, CA
National Provider Identifier
1164070868
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PRECISION EYECARE OPTOMETRY PLACERVILLE INC
Practice address
118 Main St
Placerville, CA 95667-5508
Phone
(530) 622-8300
Fax
(530) 622-8304
NPI assigned
Aug 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Dr. Brett W Perkins, ODNPI 1487725032
Title
Owner
Phone
(530) 622-8300

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

118 Main St
Placerville, CA 95667-5508

Mailing address

118 Main St
Placerville, CA 95667-5508
Phone (530) 622-8300

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL officemate Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200319003054 CA Part B Supplier - Clinic/Group Practice 4688002975 Receives reassigned benefits from 1 practitioner
Practice locations: Placerville, CA

National Provider Directory

National Provider Directory

Locations

118 Main St
Placerville, CA 95667
Phone (530) 622-8300

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": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1164070868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MAIN ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675508",
            "telephone_number": "530-622-8300",
            "fax_number": "530-622-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAIN ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675508",
            "telephone_number": "530-622-8300",
            "fax_number": "530-622-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION EYECARE OPTOMETRY PLACERVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-622-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "officemate",
            "affiliation": "N",
            "endpointDescription": "ehr",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "118 Main St",
            "city": "Placerville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956675508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.