Active NPI
Elena Y Zhuchenko, O.D.
- Optometrist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14051
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elica Health Centers | Current | Accepting new patients | |
| Elica Health Centers | Current | Accepting new patients | |
| First Optometric Care of Northern California PC | Optometrist | Current | Accepting new patients |
| First Optometric Care of Northern California PC | Optometrist | Current | Accepting new patients |
| First Optometric Care of Northern California PC | Optometrist | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- West Sacramento, CA
- NPI 1548425853
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1154947711
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1760293351
-
- Optometrist
- Rancho Cordova, CA
- NPI 1154972404
-
- Optometrist
- Sacramento, CA
- NPI 1457946931
-
- Optometrist
- San Jose, CA
- NPI 1487537452
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.