Active NPI
Daniel Bruce Lensink, MD
- Ophthalmology Physician
- Redding, CA
National Provider Identifier
1235124835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G599206
- Practice address
- 2510 Airpark Dr
Ste 101
Redding, CA 96001-2449 - Phone
- (530) 229-7700
- Fax
- (530) 229-3945
- NPI assigned
- Sep 20, 2005
- Last updated
- Dec 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G599206 | CA | Primary |
Addresses
Primary practice location
2510 Airpark Dr
Ste 101
Redding, CA 96001-2449
Mailing address
2510 Airpark Dr
Redding, CA 96001-2449
Phone (530) 229-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G599260 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G599206 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North State Surgery Centers, LP | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Oculofacial Plastic Surgery Center
- Ambulatory Surgical Clinic/Center
- Redding, CA
- NPI 1619411519
-
- Corporate Health Clinic/Center
- Redding, CA
- NPI 1841244902
-
dba Mercy Surgery Center
- Ambulatory Surgical Clinic/Center
- Redding, CA
- NPI 1700057254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1235124835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 AIRPARK DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960012449",
"telephone_number": "530-229-7700",
"fax_number": "530-229-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 AIRPARK DR",
"address_2": "STE 101",
"city": "REDDING",
"state": "CA",
"postal_code": "960012449",
"telephone_number": "530-229-7700",
"fax_number": "530-229-3945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENSINK",
"first_name": "DANIEL",
"middle_name": "BRUCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G599206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G599260",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.