Individual provider Active NPI

Elena Y Zhuchenko, O.D.

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1265740526
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14051 Issued in CA
Practice address
5777 Greenback LN
100
Sacramento, CA 95841-2013
Phone
(916) 231-0034
Fax
(916) 231-0038
NPI assigned
Sep 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14051 CA Primary

Addresses

Primary practice location

5777 Greenback LN
100
Sacramento, CA 95841-2013

Mailing address

1131 N Beale Rd
Marysville, CA 95901-6107
Phone (530) 743-8792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101130000509 CA Practitioner - Optometry 4183810336 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elica Health Centers CurrentSince Jun 20, 2024 Accepting new patients
Elica Health Centers CurrentSince Jun 20, 2024 Accepting new patients
First Optometric Care of Northern California PC Optometrist Current Accepting new patients
First Optometric Care of Northern California PC Optometrist CurrentSince Mar 10, 2021 Accepting new patients
First Optometric Care of Northern California PC Optometrist CurrentSince Mar 10, 2021 Accepting new patients
Elica Health Centers Current Accepting new patients

Locations

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

100 S Harding Blvd
Roseville, CA 95678
Phone (916) 783-8109

100 S Harding Blvd
#100
Roseville, CA 95678

5777 Greenback Ln
Ste 100
Sacramento, CA 95841
Phone (916) 231-0034

2400 Glendale Ln
Sacramento, CA 95825
Phone 9165698484 ext. 871

3701 J St
Ste 201
Sacramento, CA 95816

1860 Howe Ave
Ste 440
Sacramento, CA 95825

1750 Wright St
Ste 1
Sacramento, CA 95825

5777 Greenback Ln
#100
Sacramento, CA 95841
Phone (916) 231-0034

155 15th St
Ste A
West Sacramento, CA 95691
Phone (916) 375-8981

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1265740526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N BEALE RD",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016107",
            "telephone_number": "530-743-8792",
            "fax_number": "530-743-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 GREENBACK LN",
            "address_2": "100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958412013",
            "telephone_number": "916-231-0034",
            "fax_number": "916-231-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHUCHENKO",
        "first_name": "ELENA",
        "middle_name": "Y",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.