Active NPI
El Dorado Hills Eyecare Optometry
- Optometrist
- El Dorado Hills, CA
National Provider Identifier
1215089446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- FNP 2831
- Legal business name
- EL DORADO HILLS EYECARE OPTOMETRY
- Practice address
- 899 Embarcadero Dr
Ste 3
El Dorado Hills, CA 95762-4094 - Phone
- (916) 939-6631
- NPI assigned
- Jan 17, 2007
- 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
- Dr. Betty Yoshiko Kinoshita, O.D.
- Title
- Partner
- Phone
- (916) 939-6631
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | FNP 2831 | CA | Primary |
Addresses
Primary practice location
899 Embarcadero Dr
Ste 3
El Dorado Hills, CA 95762-4094
Mailing address
899 Embarcadero Dr
Ste 3
El Dorado Hills, CA 95762-4094
Phone (916) 939-6631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4508670001 | Other | CA | MEDICARE SUPPLIER |
National Provider Directory
National Provider DirectoryLocations
899 Embarcadero Dr
Ste 3
El Dorado Hills, CA 95762
Phone (916) 939-6631
893 Embarcadero Dr
Ste 102
El Dorado Hls, CA 95762
Phone (916) 939-6631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215089446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "899 EMBARCADERO DR",
"address_2": "STE 3",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957624094",
"telephone_number": "916-939-6631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "899 EMBARCADERO DR",
"address_2": "STE 3",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957624094",
"telephone_number": "916-939-6631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EL DORADO HILLS EYECARE OPTOMETRY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KINOSHITA",
"authorized_official_first_name": "BETTY",
"authorized_official_middle_name": "YOSHIKO",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "916-939-6631",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "FNP 2831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SUPPLIER",
"identifier": "4508670001",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado Hills, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.