Eagle Vision Eye Care Optometric Group

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EAGLE VISION EYE CARE OPTOMETRIC GROUP

Practice address

5777 Greenback LN.
Ste 100
Sacramento, CA 95841-2013

Phone

(916) 231-0034

Fax

(916) 231-0038

NPI assigned

Dec 31, 2007

Last updated

Aug 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Wayne Johnson, ODNPI 1972583391

Title

Optometrist/Owner

Phone

(916) 231-0034

Specialties & licenses 1

Addresses

Locations

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.

• Michael Wayne Johnson, OD

  • Optometrist
  • Sacramento, CA
  • NPI 1972583391
  Authorized official Same address or phone
• Joel Isaac Barthelow, M.D.

  • Ophthalmology Physician
  • Chico, CA
  • NPI 1013974625
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1174708804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 GREENBACK LN.",
            "address_2": "STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958412013",
            "telephone_number": "916-231-0034",
            "fax_number": "916-231-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 GREENBACK LN.",
            "address_2": "STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958412013",
            "telephone_number": "916-231-0034",
            "fax_number": "916-231-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE VISION EYE CARE OPTOMETRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "916-231-0034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.