Organization Active NPI

Henry D Patterson, OD a Professional Optometric Corporation

  • Optometrist
  • Burney, CA
National Provider Identifier
1306103221
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14348 Issued in CA
Legal business name
HENRY D PATTERSON, OD A PROFESSIONAL OPTOMETRIC CORPORATION
Practice address
37333 State Highway 299 E
Burney, CA 96013-4371
Phone
(530) 335-2233
Fax
(530) 335-3933
NPI assigned
Apr 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Dr. Henry D Patterson, O.D.NPI 1164710745
Title
President
Phone
(530) 356-6833

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 14348 CA Primary

Addresses

Primary practice location

37333 State Highway 299 E
Burney, CA 96013-4371

Mailing address

37333 State Highway 299 E
Burney, CA 96013-4371
Phone (530) 335-2233

Other names 1

  • Patterson Optometric Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120607000714 CA Part B Supplier - Clinic/Group Practice 1052575719 Receives reassigned benefits from 1 practitioner
Practice locations: Burney, CA
O20130918000395 CA DME Supplier - Physician - Optometrist 1052575719 Practice locations: Burney, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Patterson Optometric Eyecare37333 State Highway 299 E, Burney, CA 96013-4371(530) 335-2233 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jun 8, 2012

National Provider Directory

National Provider Directory

Locations

37333 State Highway 299 E
Burney, CA 96013
Phone (530) 335-2233

Practitioners & affiliated clinicians

Practitioners 3

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": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1306103221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37333 STATE HIGHWAY 299 E",
            "city": "BURNEY",
            "state": "CA",
            "postal_code": "960134371",
            "telephone_number": "530-335-2233",
            "fax_number": "530-335-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37333 STATE HIGHWAY 299 E",
            "city": "BURNEY",
            "state": "CA",
            "postal_code": "960134371",
            "telephone_number": "530-335-2233",
            "fax_number": "530-335-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY D PATTERSON, OD A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-356-6833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patterson Optometric Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burney, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.