Sacramento Optometric Group, a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SACRAMENTO OPTOMETRIC GROUP, A PROFESSIONAL CORPORATION

Practice address

400 O St Ste 102
Sacramento, CA 95814-5327

Phone

(916) 443-3524

Fax

(916) 443-3986

NPI assigned

May 26, 2013

Last updated

Apr 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Sakazaki

Title

Office Manager

Phone

(916) 443-3524

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Katrina Ann Gallardo-Chang, O.D.

  • Optometrist
  • Sacramento, CA
  • NPI 1568711497
  Medicare reassignment NPD
• Soo Jin Noh, O.D.

  • Optometrist
  • Sacramento, CA
  • NPI 1326474602
  Medicare reassignment NPD
• Kenneth K Sakazaki, OD

  • Optometrist
  • Sacramento, CA
  • NPI 1235297433
  NPD

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

{
    "created_epoch": "1369526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1356788731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 O ST STE 102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958145327",
            "telephone_number": "916-443-3524",
            "fax_number": "916-443-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 O ST STE 102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958145327",
            "telephone_number": "916-443-3524",
            "fax_number": "916-443-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO OPTOMETRIC GROUP, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-26",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "SAKAZAKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-443-3524",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE INSURANCE COMPANY",
            "identifier": "1356788731",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "1356788731",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sacramento Native American Health Center, Inc.
• Sacramento Native American Health Center, Inc.
• Sacramento Occupational Medical Center
• Sacramento Occupational Medical Group
• Sacramento Operating Company LP (Double Tree Post-Acute Care Center)
• Sacramento Oral Surgery
• Sacramento Orthopedic Sports & Shoulder
• Sacramento Outpatient Recovery Services LLC
• Sacramento Pediatric Endocrine and Diabetes Medical Clinic Inc (Bagher M Sheikholislam, MD)
• Sacramento Pediatric Gastroenterology,Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.