Individual provider Active NPI

Genevieve Kim Corrigan, O.D.

  • Optometrist
  • El Dorado Hills, CA
National Provider Identifier
1295738847
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
09848TPL Issued in CA
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

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
13457OtherCAMES
49855OtherCAHEALTH NET PPO
49855OtherCASAFEGUARD PPO
45339OtherCAHEALTH NET HMO
45339OtherCASAFEGUARD HMO
7579166OtherCAAETNA EPO,PPO,MC
116335OtherCAECPA
0691264OtherCAAETNA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Sixth Optometric Care of California PCGroup PAC ID 1153804562, 9 clinicians
Genevieve Kim Corrigan OD IncGroup PAC ID 6204160815, 2 clinicians

Practice addresses (Care Compare)

2209 Francisco Dr
Suite 150
El Dorado Hills, CA 95762-3805
Phone (916) 933-5535

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09848TPLCAMDOptometrist
9848CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Genevieve Kim Corrigan OD Inc Optometrist CurrentSince Mar 24, 2019 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

Verify at the official NPI Registry.