Eaton Optometric Group, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7528 Issued in CA

Legal business name

EATON OPTOMETRIC GROUP, INC.

Practice address

4598 S Tracy Blvd
Suite 130
Tracy, CA 95377-8107

Phone

(209) 835-1181

Fax

(209) 835-9396

NPI assigned

Dec 8, 2014

Last updated

Dec 8, 2014By 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

Angie Osborne

Title

Office Manager

Phone

(209) 835-7446

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

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.

• David Charles Moline, OD

  • Optometrist
  • Tracy, CA
  • NPI 1134133929
  Medicare reassignment Care Compare group NPD
• Neelam Thiara, DOCTOR OF OPTOMETRY

  • Optometrist
  • Tracy, CA
  • NPI 1477108421
  Medicare reassignment Care Compare group NPD
• Brian Michael Yee, O.D.

  • Optometrist
  • Tracy, CA
  • NPI 1497733729
  Medicare reassignment Care Compare group NPD
• Timothy NG, O.D.

  • Optometrist
  • Stockton, CA
  • NPI 1063825156
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1194123182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4598 S TRACY BLVD",
            "address_2": "SUITE 130",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778107",
            "telephone_number": "209-835-1181",
            "fax_number": "209-835-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4598 S TRACY BLVD",
            "address_2": "SUITE 130",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778107",
            "telephone_number": "209-835-1181",
            "fax_number": "209-835-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATON OPTOMETRIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-835-7446"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myla Dutchak
• Dva Healthcare Renal Care Inc (Tracy Dialysis)
• Melissa K Dyer, COUNSELOR 1
• Michael Richard Earle, D.D.S.
• Eaton Optometric Group
• Eaton Pediatrics & Medical Corp.
• Ricardo Echon, FNP-C
• Eco Sound LLC
• Ecologically Sound Medical SRV
• David Alan Edelsohn, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.