Active NPI
Sierra Eye Medical Group Inc.
- Eyewear Supplier
- Visalia, CA
National Provider Identifier
1164478491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- SIERRA EYE MEDICAL GROUP INC.
- Practice address
- 2830 W Main St
Visalia, CA 93291-4331 - Phone
- (559) 636-1000
- Fax
- (559) 733-7438
- NPI assigned
- May 26, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Pat H Marquez
- Title
- Director Business Services
- Phone
- (559) 636-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
2830 W Main St
Visalia, CA 93291-4331
Mailing address
2830 W Main St
Visalia, CA 93291-4331
Phone (559) 636-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930087022 | CA | DME Supplier - Physician - Ophthalmology | 2769467380 | Practice locations: Visalia, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryLocations
2830 W Main St
Visalia, CA 93291
Phone (559) 636-1000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- San Francisco, CA
- NPI 1346297322
-
- Ophthalmology Physician
- Visalia, CA
- NPI 1528491990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164478491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 W MAIN ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932914331",
"telephone_number": "559-636-1000",
"fax_number": "559-733-7438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2830 W MAIN ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932914331",
"telephone_number": "559-636-1000",
"fax_number": "559-733-7438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIERRA EYE MEDICAL GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARQUEZ",
"authorized_official_first_name": "PAT",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "DIRECTOR BUSINESS SERVICES",
"authorized_official_telephone_number": "559-636-1000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.