Organization Active NPI

Allisyn Feucht, O.D., Inc.

Doing business as Palo Cedro Eyecare

  • Optometrist
  • Palo Cedro, CA
National Provider Identifier
1316289309
Registry record updated Jan 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14232 Issued in CA
Legal business name
ALLISYN FEUCHT, O.D., INC.
Doing business as
Palo Cedro Eyecare
Practice address
9372 Deschutes Rd
Palo Cedro, CA 96073-8799
Phone
(530) 547-2020
Fax
(530) 547-2101
NPI assigned
Mar 18, 2013
Last updated
Jan 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2014

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

Authorized official

Name
Dr. Allisyn S Feucht, O.D.
Title
President/ Optometrist
Phone
(530) 547-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 14232 CA Primary

Addresses

Primary practice location

9372 Deschutes Rd
Palo Cedro, CA 96073-8799

Mailing address

9372 Deschutes Rd
Palo Cedro, CA 96073-8799
Phone (530) 547-2020

Other identifiers 1

IdentifierTypeStateIssuer
1750679247OtherCAINDIVIDUAL NPI

Other names 1

  • Palo Cedro Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

9372 Deschutes Rd
Palo Cedro, CA 96073
Phone (530) 547-2020

Practitioners & affiliated clinicians

Practitioners 3

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": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390176000000",
    "number": "1316289309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9372 DESCHUTES RD",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960738799",
            "telephone_number": "530-547-2020",
            "fax_number": "530-547-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9372 DESCHUTES RD",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960738799",
            "telephone_number": "530-547-2020",
            "fax_number": "530-547-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLISYN FEUCHT, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2014-01-20",
        "status": "A",
        "authorized_official_last_name": "FEUCHT",
        "authorized_official_first_name": "ALLISYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/ OPTOMETRIST",
        "authorized_official_telephone_number": "530-547-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1750679247",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palo Cedro Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palo Cedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; 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.