Organization Active NPI

David W. Muris Sacramento Visioncare Optometric Center

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1225040413
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
FNP 2719 Issued in CA
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

Updated by the provider on Sep 30, 2009

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GSD003150MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.