Fogg Remington Eyecare, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

FOGG REMINGTON EYECARE, INC.

Practice address

1817 Shaw Ave
Suite 104
Clovis, CA 93611-4069

Phone

(559) 449-5010

Fax

(559) 449-5014

NPI assigned

Apr 8, 2006

Last updated

Apr 5, 2022By 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

Ms. Paula Pendley

Title

Financial Supervisor

Phone

(559) 226-3975

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

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

• Fogg Remington Eyecare Inc

  • Ophthalmology Physician
  • Fresno, CA
  • NPI 1023070869

  O20040423001093

  Same enrollment
• Fogg Remington Eyecare Inc

  • Ophthalmology Physician
  • Fresno, CA
  • NPI 1437971082

  O20040423001093

  Same enrollment
• Fogg Remington Eyecare, Inc.

  • Ophthalmology Physician
  • Oakhurst, CA
  • NPI 1801859145

  O20040423001093

  Same enrollment
• Fogg Remington Eyecare, Inc.

  • Ophthalmology Physician
  • Fresno, CA
  • NPI 1912960253

  O20040423001093

  Same enrollment
• Fogg Remington Eyecare, Inc.

  • Ophthalmology Physician
  • Madera, CA
  • NPI 1992768238

  O20040423001093

  Same enrollment

Locations

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.

• Anthony Chavez, OD

  • Optometrist
  • Fresno, CA
  • NPI 1215582176
  NPD
• Brian Todd Christensen, O.D.

  • Optometrist
  • Fresno, CA
  • NPI 1912968819
  NPD
• William Andrew Maxwell, M.D.

  • Ophthalmology Physician
  • Fresno, CA
  • NPI 1205898681
  NPD (past)

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1376506618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE",
            "address_2": "SUITE 401",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-449-5010",
            "fax_number": "559-449-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 SHAW AVE",
            "address_2": "SUITE 104",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114069",
            "telephone_number": "559-449-5010",
            "fax_number": "559-449-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOGG REMINGTON EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-08",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "PENDLEY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "FINANCIAL SUPERVISOR",
        "authorized_official_telephone_number": "559-226-3975",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0078921",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE DMERC",
            "identifier": "1304310004",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD004052",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mike Flores Jr., LVN
• Zaida Flores
• Zarai Flores
• Lashaunda Floyd, LVN
• Fogg Remington Eyecare, Inc.
• Stephanie M Folgar Jimenez
• Marcel Fomotar, CRNP-PMH
• Leo L. Fong, MD
• Footsteps Behavioral Health Corporation (Footsteps Behavioral Health)
• Footsteps, a Licensed Clinical Social Worker Corporation (Footsteps)

• Ophthalmology Physician in Clovis, CA
• Providers in Clovis, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.