Colusa Eyecare Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

7125T Issued in CA

Legal business name

COLUSA EYECARE OPTOMETRY

Practice address

516 Jay St
Colusa, CA 95932-2436

Phone

(530) 458-2020

Fax

(530) 458-8977

NPI assigned

Jan 23, 2013

Last updated

Jan 23, 2013By 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

Dr. Bradley R Baker, O.D.NPI 1154376283

Title

Optometrist

Phone

(530) 458-2020

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Bradley R Baker, OD

  • Optometrist
  • Colusa, CA
  • NPI 1154376283
  NPD (past) Authorized official
• Parveen Kaur Bains, OD

  • Optometrist
  • Colusa, CA
  • NPI 1750931556
  NPD (past)
• Gary Richard Taxera, OD

  • Optometrist
  • Yuba City, CA
  • NPI 1326094392
  NPD (past)

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1265770416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 JAY ST",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959322436",
            "telephone_number": "530-458-2020",
            "fax_number": "530-458-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 JAY ST",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959322436",
            "telephone_number": "530-458-2020",
            "fax_number": "530-458-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUSA EYECARE OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "530-458-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7125T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colusa County Department of Health & Human Services
• Colusa County Department of Substance Abuse
• Colusa County Health & Human Services
• Colusa County Office of Education
• Colusa Emergency Physicians Medical Group, Inc.
• Colusa Hearing Aid Center
• Colusa Indian Community Council (Colusa Indian Dental Clinic)
• Colusa Indian Community Council
• Colusa Indian Community Council
• Colusa Indian Community Council

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.