Active NPI
David W. Muris Sacramento Visioncare Optometric Center
- Optometrist
- Sacramento, CA
National Provider Identifier
1225040413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- FNP 2719
- Legal business name
- DAVID W. MURIS SACRAMENTO VISIONCARE OPTOMETRIC CENTER
- Practice address
- 1111 Howe Ave
Suite 235
Sacramento, CA 95825-8541 - Phone
- (916) 929-9162
- Fax
- (916) 929-8837
- NPI assigned
- Aug 13, 2006
- 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. David William Muris, O.D.
- Title
- Owner
- Phone
- (916) 929-9162
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | FNP 2719 | CA | Primary |
Addresses
Primary practice location
1111 Howe Ave
Suite 235
Sacramento, CA 95825-8541
Mailing address
1111 Howe Ave
Suite 235
Sacramento, CA 95825-8541
Phone (916) 929-9162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GSD003150 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1111 Howe Ave
Ste 235
Sacramento, CA 95825
Phone (916) 488-2050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Lodi, CA
- NPI 1205940889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254268800000",
"number": "1225040413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 HOWE AVE",
"address_2": "SUITE 235",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958258541",
"telephone_number": "916-929-9162",
"fax_number": "916-929-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 HOWE AVE",
"address_2": "SUITE 235",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958258541",
"telephone_number": "916-929-9162",
"fax_number": "916-929-8837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID W. MURIS SACRAMENTO VISIONCARE OPTOMETRIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-13",
"last_updated": "2009-09-30",
"status": "A",
"authorized_official_last_name": "MURIS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "916-929-9162",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "FNP 2719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GSD003150",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.