NPIMap

Organization Active NPI

Zeiter Eye Medical Group, Inc.

  • Ophthalmology Physician
  • Elk Grove, CA
National Provider Identifier
1346662970
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ZEITER EYE MEDICAL GROUP, INC.
Practice address
4810 Elk Grove Blvd Ste 160
Elk Grove, CA 95758-4191
Phone
(916) 478-2778
Fax
(916) 478-2779
NPI assigned
Jan 16, 2014
Last updated
Aug 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Mr. John H Zeiter, M.D.
Title
Ceo
Phone
(209) 466-5566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

4810 Elk Grove Blvd Ste 160
Elk Grove, CA 95758-4191

Mailing address

255 E Weber Ave
Stockton, CA 95202-2706
Phone (209) 466-5566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050128000910 CA Part B Supplier - Clinic/Group Practice 8527018316 Receives reassigned benefits from 13 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Angels Camp, CA; Valley Springs, CA; Tracy, CA; Sutter Creek, CA; Stockton, CA; Elk Grove, CA; Jackson, CA; Manteca, CA…

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Peter V Hetzner OD15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

595 Stanislaus Ave
Ste C
Angels Camp, CA 95222
Phone (209) 736-0908

1630 W Yosemite Ave
Ste 3
Manteca, CA 95337
Phone (209) 239-3880

165 Saint Dominics Dr
Ste 200
Manteca, CA 95337
Phone (209) 239-3824

14550 Mono Way
Sonora, CA 95370
Phone (209) 532-7192

1746 Grand Canal Blvd
Stockton, CA 95207
Phone (209) 951-1178

4598 S Tracy Blvd
Ste 130
Tracy, CA 95377
Phone (209) 835-1181

4 Jean St
Ste 1
Valley Springs, CA 95252
Phone (209) 772-9798

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1346662970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E WEBER AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022706",
            "telephone_number": "209-466-5566",
            "fax_number": "209-466-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 ELK GROVE BLVD STE 160",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957584191",
            "telephone_number": "916-478-2778",
            "fax_number": "916-478-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEITER EYE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "ZEITER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-466-5566",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.