Active NPI
Medical Vision Technology Ophthalmology Group, Inc.
- Ophthalmology Physician
- Folsom, CA
National Provider Identifier
1295768737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- MEDICAL VISION TECHNOLOGY OPHTHALMOLOGY GROUP, INC.
- Practice address
- 1561 Creekside Dr
Suite 160
Folsom, CA 95630-3492 - Phone
- (916) 983-4550
- Fax
- (916) 983-8569
- NPI assigned
- Jul 8, 2006
- Last updated
- Oct 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joann Musholt
- Title
- Billing MGR
- Phone
- (916) 731-5955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1561 Creekside Dr
Suite 160
Folsom, CA 95630-3492
Mailing address
1700 Alhambra Blvd
Suite 202
Sacramento, CA 95816-7050
Phone (916) 731-8040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0042245 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Medical Vision Tech Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Auburn, CA
- NPI 1831122308
-
- Ophthalmology Physician
- Sacramento, CA
- NPI 1013940519
-
- Ophthalmology Physician
- Roseville, CA
- NPI 1609809144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191283200000",
"number": "1295768737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 ALHAMBRA BLVD",
"address_2": "SUITE 202",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958167050",
"telephone_number": "916-731-8040",
"fax_number": "916-454-4152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 CREEKSIDE DR",
"address_2": "SUITE 160",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303492",
"telephone_number": "916-983-4550",
"fax_number": "916-983-8569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL VISION TECHNOLOGY OPHTHALMOLOGY GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2007-10-02",
"status": "A",
"authorized_official_last_name": "MUSHOLT",
"authorized_official_first_name": "JOANN",
"authorized_official_title_or_position": "BILLING MGR",
"authorized_official_telephone_number": "916-731-5955"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0042245",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
- Bonnie McNiel
- Marcus Sean McRae, LMFT
- MD Trans Services Inc
- Ellen M. Mechling, MFT
- Med-7 Urgent Care Center Medical Group (MED7 Urgent Care Center)
- Mediwell, Inc. (Mediwell Medical Group)
- Meds 2U Pharmacy Corp.
- Meds 2U Pharmacy Corp. (Meds 2U Pharmacy)
- Colby Albert Meeder, DMD
- Meena Medical Group, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.