NPIMap

Organization Active NPI

Zeiter Eye Medical Group Inc Oculafacial Plastic and Reconstructive Su

  • Ophthalmology Physician
  • Stockton, CA
National Provider Identifier
1376815605
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ZEITER EYE MEDICAL GROUP INC OCULAFACIAL PLASTIC AND RECONSTRUCTIVE SU
Practice address
1801 E March LN
Suite A160
Stockton, CA 95210-6629
Phone
(209) 466-5566
Fax
(209) 466-0535
NPI assigned
Feb 2, 2012
Last updated
May 24, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ZEITER EYE MEDICAL GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Dr. John Henry Zeiter, MDNPI 1447330634
Title
President
Phone
(209) 466-5566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary
Plastic and Reconstructive Surgery Physician 2086S0122X NU

Addresses

Primary practice location

1801 E March LN
Suite A160
Stockton, CA 95210-6629

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
Part of
Peter V Hetzner OD

Other organizations with this tax ID 14

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

View all 14

Locations

1801 E March Ln
Ste A160
Stockton, CA 95210

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1376815605",
    "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": "1801 E MARCH LN",
            "address_2": "SUITE A160",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106629",
            "telephone_number": "209-466-5566",
            "fax_number": "209-466-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEITER EYE MEDICAL GROUP INC OCULAFACIAL PLASTIC AND RECONSTRUCTIVE SU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZEITER EYE MEDICAL GROUP, INC",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "ZEITER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-466-5566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.