Active NPI
Jennifer Marie Mayer, O.D.
- Optometrist
- Rancho Cordova, CA
National Provider Identifier
1336294909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12771 T
- Practice address
- 2868 Prospect Park Dr Ste 150
Rancho Cordova, CA 95670-6066 - Phone
- (916) 677-7823
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12771 T | CA | Primary |
Addresses
Primary practice location
2868 Prospect Park Dr Ste 150
Rancho Cordova, CA 95670-6066
Mailing address
600 Hardy PL
Lincoln, CA 95648-2958
Phone (916) 677-7823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12771 | CA | MD | Chiropractor |
| 12771 T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336294909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 HARDY PL",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956482958",
"telephone_number": "916-677-7823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2868 PROSPECT PARK DR STE 150",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956706066",
"telephone_number": "916-677-7823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12771 T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.