Active NPI
Genevieve Kim Corrigan, O.D.
- Optometrist
- El Dorado Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 09848TPL
- Practice address
- 2209 Francisco Dr Ste 150
El Dorado Hills, CA 95762-3805 - Phone
- (916) 933-5535
- Fax
- (916) 933-9168
- NPI assigned
- May 27, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 09848TPL | CA | Primary |
Addresses
Primary practice location
2209 Francisco Dr Ste 150
El Dorado Hills, CA 95762-3805
Mailing address
2209 Francisco Dr Ste 150
El Dorado Hills, CA 95762-3805
Phone (916) 933-5535
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13457 | Other | CA | MES |
| 49855 | Other | CA | HEALTH NET PPO |
| 49855 | Other | CA | SAFEGUARD PPO |
| 45339 | Other | CA | HEALTH NET HMO |
| 45339 | Other | CA | SAFEGUARD HMO |
| 7579166 | Other | CA | AETNA EPO,PPO,MC |
| 116335 | Other | CA | ECPA |
| 0691264 | Other | CA | AETNA HMO |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100601000401 | CA | Practitioner - Optometry | 9335202746 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2209 Francisco Dr
Suite 150
El Dorado Hills, CA 95762-3805
Phone (916) 933-5535
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09848TPL | CA | MD | Optometrist |
| 9848 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genevieve Kim Corrigan OD Inc | Optometrist | Current | Accepting new patients |
Locations
2209 Francisco Dr
Ste 150
El Dorado Hills, CA 95762
Phone (916) 933-5335
1011 Saint Andrews Dr
Ste F
El Dorado Hls, CA 95762
Phone (916) 933-5535
Organizations & group practices 2
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": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1295738847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 FRANCISCO DR STE 150",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957623805",
"telephone_number": "916-933-5535",
"fax_number": "916-933-9168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 FRANCISCO DR STE 150",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957623805",
"telephone_number": "916-933-5535",
"fax_number": "916-933-9168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRIGAN",
"first_name": "GENEVIEVE",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-27",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "09848TPL",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MES",
"identifier": "13457",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET PPO",
"identifier": "49855",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAFEGUARD PPO",
"identifier": "49855",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET HMO",
"identifier": "45339",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAFEGUARD HMO",
"identifier": "45339",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA EPO,PPO,MC",
"identifier": "7579166",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECPA",
"identifier": "116335",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0691264",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.