Organization Active NPI

Gregory J Fischer Kelley Opticians

  • Eyewear Supplier
  • Sacramento, CA
National Provider Identifier
1306059647
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
D6619 Issued in CA
Legal business name
GREGORY J FISCHER KELLEY OPTICIANS
Practice address
4128 El Camino Ave
Suite 11
Sacramento, CA 95821
Phone
(916) 483-9293
Fax
(916) 973-0407
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Mr. Gregory J Fischer, DISPENSING OPTICIANNPI 1295956993
Title
Owner
Phone
(916) 483-9293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X D6619 CA Primary

Addresses

Primary practice location

4128 El Camino Ave
Suite 11
Sacramento, CA 95821

Mailing address

4128 El Camino Ave
Suite 11
Sacramento, CA 95821
Phone (916) 483-9293

National Provider Directory

National Provider Directory

Locations

4128 El Camino Ave
Ste 11
Sacramento, CA 95821
Phone (916) 483-9293

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1306059647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 EL CAMINO AVE",
            "address_2": "SUITE 11",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95821",
            "telephone_number": "916-483-9293",
            "fax_number": "916-973-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4128 EL CAMINO AVE",
            "address_2": "SUITE 11",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95821",
            "telephone_number": "916-483-9293",
            "fax_number": "916-973-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY J FISCHER KELLEY OPTICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-483-9293",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DISPENSING OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "D6619",
            "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 Jul 7, 2008; 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.