Organization Active NPI

Dr Sheldon K Smith, Optometrist Inc.

  • Health Maintenance Organization
  • Woodland, CA
National Provider Identifier
1316255227
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
4612 Issued in CA
Legal business name
DR SHELDON K SMITH, OPTOMETRIST INC.
Practice address
316 Walnut St
Woodland, CA 95695-3141
Phone
(530) 662-2020
Fax
(530) 662-8642
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Dr. Sheldon K Smith, ODNPI 1033290515
Title
President
Phone
(530) 662-2020

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
Health Maintenance Organization 302R00000X 4612 CA Primary

Addresses

Primary practice location

316 Walnut St
Woodland, CA 95695-3141

Mailing address

316 Walnut St
Woodland, CA 95695-3141
Phone (530) 662-2020

Other identifiers 1

IdentifierTypeStateIssuer
GSD000360MedicaidCA

National Provider Directory

National Provider Directory

Locations

316 Walnut St
Woodland, CA 95695
Phone (530) 662-2020

Practitioners & affiliated clinicians

Practitioners 2

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": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1316255227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 WALNUT ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953141",
            "telephone_number": "530-662-2020",
            "fax_number": "530-662-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 WALNUT ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953141",
            "telephone_number": "530-662-2020",
            "fax_number": "530-662-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHELDON K SMITH, OPTOMETRIST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-662-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "4612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD000360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.