Kevin Jeffrey Page

Primary specialty

OptometristTaxonomy code 152W00000X

License

36267 Issued in CA

Practice address

1710 Pennsylvania Ave Ste B
Fairfield, CA 94533-3549

Phone

(707) 425-2187

NPI assigned

Apr 29, 2026

Last updated

Jun 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vacaville Optometric Vision Center Inc.

  • Optometrist
  • Vacaville, CA
  • NPI 1285658872
  Medicare reassignment NPD
• Mark R Christensen, O.D., Inc., a Professional Optometric Corporation

  • Optometrist
  • Fairfield, CA
  • NPI 1881885309
  NPD (past)

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1316884414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15638 CRIMSON TOPAZ",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 PENNSYLVANIA AVE STE B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333549",
            "telephone_number": "707-425-2187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 Merchant St",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956884511",
            "country_code": "US",
            "telephone_number": "707-448-3451",
            "fax_number": "707-448-1304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGE",
        "first_name": "KEVIN",
        "middle_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvia Padilla
• Trinidad Padilla Jr.
• Vanessa Padilla
• Ysela Bernice Padilla
• Nancy Padula
• Alexis Elaine Pagtalonia
• Pantea Pahlavan, M.D.
• Sushma Pai
• Payal Pal
• Dimitrios Michael Palilis, AUD

• Optometrist in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.