Individual provider Active NPI

Jason Allgeier, OD

  • Optometrist
  • Auburn, CA
National Provider Identifier
1366923740
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34073TLG Issued in CA
Practice address
3133 Professional Dr Ste 14
Auburn, CA 95603-2463
Phone
(530) 888-0670
NPI assigned
Aug 23, 2018
Last updated
Aug 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34073TLG CA Primary

Addresses

Primary practice location

3133 Professional Dr Ste 14
Auburn, CA 95603-2463

Mailing address

3133 Professional Dr Ste 14
Auburn, CA 95603-2463
Phone (530) 888-0670

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181017002342 CA Practitioner - Optometry 1951653070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chan Family Vision Care Optometric IncGroup PAC ID 8921433830, 3 clinicians

Practice addresses (Care Compare)

3133 Professional Dr
Auburn, CA 95603-2463
Phone (530) 888-0670

360 Sierra College Dr
Suite 100
Grass Valley, CA 95945-5088
Phone (530) 273-3190

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34073TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Third Optometric Care of California Optometrist Current Accepting new patients
Third Optometric Care of California PC Optometrist CurrentSince Aug 5, 2021 Accepting new patients
Chan Family Vision Care Optometric Inc Optometrist CurrentSince Jan 1, 2020 Accepting new patients
Third Optometric Care of California PC Optometrist CurrentSince Aug 5, 2021 Accepting new patients
Third Optometric Care of California Optometrist Past Accepting new patients

Locations

3133 Professional Dr
Ste 14
Auburn, CA 95603
Phone (530) 888-0670

360 Sierra College Dr
Ste 100
Grass Valley, CA 95945
Phone (530) 271-2282

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

400 O St
Ste 102
Sacramento, CA 95814
Phone (916) 443-3524

Interoperability endpoints

  • Direct secure messaging: jason.allgeier@direct.revolutionehr.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1366923740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 PROFESSIONAL DR STE 14",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032463",
            "telephone_number": "530-888-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 PROFESSIONAL DR STE 14",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032463",
            "telephone_number": "530-888-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLGEIER",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34073TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

Verify at the official NPI Registry.