Organization Active NPI

California Physicians Eyecare Group, P.C.

  • Optometrist
  • Modesto, CA
National Provider Identifier
1225508443
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CALIFORNIA PHYSICIANS EYECARE GROUP, P.C.
Practice address
3200 Sisk Rd
Modesto, CA 95356-0546
Phone
(209) 577-3937
Fax
(209) 522-1096
NPI assigned
Nov 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alisha Jackson
Title
Senior Revenue Cycle Manager
Phone
(561) 208-1591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3200 Sisk Rd
Modesto, CA 95356-0546

Mailing address

PO Box 24686
New York, NY 10087-4686
Phone (561) 275-2020

National Provider Directory

National Provider Directory

Locations

3200 Sisk Rd
Modesto, CA 95356
Phone (209) 577-3937

Practitioners & affiliated clinicians

Practitioners 2

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": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1225508443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24686",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100874686",
            "telephone_number": "561-275-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SISK RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953560546",
            "telephone_number": "209-577-3937",
            "fax_number": "209-522-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PHYSICIANS EYECARE GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_title_or_position": "SENIOR REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "561-208-1591"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.