NPIMap

Organization Active NPI

Healthy Eyes Optometry Inc

  • Optometrist
  • Folsom, CA
National Provider Identifier
1316135759
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12733 Issued in CA
Legal business name
HEALTHY EYES OPTOMETRY INC
Practice address
2690 E Bidwell St
Ste 500
Folsom, CA 95630-6430
Phone
(916) 983-6838
Fax
(916) 983-6846
NPI assigned
Oct 11, 2007
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Jing Han, O.D.NPI 1720018575
Title
C.E.O.
Phone
(916) 983-6838

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12733 CA Primary
Corneal and Contact Management Optometrist 152WC0802X 12733 CA
Pediatric Optometrist 152WP0200X 12733 CA
Occupational Vision Optometrist 152WX0102X 12733 CA

Addresses

Primary practice location

2690 E Bidwell St
Ste 500
Folsom, CA 95630-6430

Mailing address

2690 E Bidwell St
Ste 500
Folsom, CA 95630-6430
Phone (916) 983-6838

Other names 1

  • Jing Han, O.D. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110226000056 CA Part B Supplier - Clinic/Group Practice 5698956449 Receives reassigned benefits from 8 practitioners
Practice locations: El Dorado Hills, CA; Folsom, CA; Merced, CA; Placerville, CA

National Provider Directory

National Provider Directory

Locations

4917 Golden Foothill Pkwy
El Dorado Hills, CA 95762
Phone (916) 941-3800

4917 Golden Foothill Pkwy
Ste A
El Dorado Hills, CA 95762
Phone (916) 934-2689

2690 E Bidwell St
Ste 500
Folsom, CA 95630
Phone (916) 549-6728

197 W El Portal Dr
Ste A
Merced, CA 95348
Phone (209) 384-2110

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1316135759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 E BIDWELL ST",
            "address_2": "STE 500",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306430",
            "telephone_number": "916-983-6838",
            "fax_number": "916-983-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 E BIDWELL ST",
            "address_2": "STE 500",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306430",
            "telephone_number": "916-983-6838",
            "fax_number": "916-983-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY EYES OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "916-983-6838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12733",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "12733",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "12733",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CA",
            "license": "12733",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jing Han, O.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.