Organization Active NPI

El Dorado Hills Eyecare Optometry

  • Optometrist
  • El Dorado Hills, CA
National Provider Identifier
1215089446
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
FNP 2831 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4508670001OtherCAMEDICARE SUPPLIER

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.