Eye 2 Eye Family Optometry, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE 2 EYE FAMILY OPTOMETRY, P.C.

Practice address

4633 Whitney Ave
Suite a
Sacramento, CA 95821-4100

Phone

(916) 487-1717

Fax

(916) 487-3081

NPI assigned

Feb 13, 2012

Last updated

Jul 7, 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

Mark Waldmire, O.D.NPI 1154313963

Title

Ceo

Phone

(916) 487-1717

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eye 2 Eye Family Optometry, PC

  • Optometrist
  • North Highlands, CA
  • NPI 1629348313

  O20120319000787

  Same enrollment

Locations

Practitioners 2

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.

• Mark William Waldmire

  • Optometrist
  • Sacramento, CA
  • NPI 1154313963
  NPD Authorized official
• Karrin Michelle Vallin, OD

  • Optometrist
  • Sacramento, CA
  • NPI 1134154800
  NPD

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1225301898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 WHITNEY AVE",
            "address_2": "SUITE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214100",
            "telephone_number": "916-487-1717",
            "fax_number": "916-487-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 WHITNEY AVE",
            "address_2": "SUITE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214100",
            "telephone_number": "916-487-1717",
            "fax_number": "916-487-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE 2 EYE FAMILY OPTOMETRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "WALDMIRE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-487-1717",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Excellence Service Non-Emergency Medical Transportation LLC
• Staci Joanna Exceus
• Excllent Service Medi Transportation Company
• Exodus Transport Team LLC
• Express Care Transport LLC
• Eye Chicks, LLC.
• Eye Site Sacramento Medical Group, Inc
• Eye Site Sacramento Medical Group, Inc.
• Eyes on J Optometry
• Eyes on J Street Optometry, Inc (Eyes on J Optometry)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.