NPIMap

Organization Active NPI

Ridge Eye Care

  • Non-Pharmacy Dispensing Site
  • Chico, CA
National Provider Identifier
1386015014
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
RIDGE EYE CARE
Practice address
114 Mission Ranch Blvd
#50
Chico, CA 95926-5137
Phone
(530) 891-1900
Fax
(530) 895-1531
NPI assigned
Oct 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Miss Jasmine Worthen
Title
Credentialing Specialist
Phone
(727) 755-0693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

114 Mission Ranch Blvd
#50
Chico, CA 95926-5137

Mailing address

311 Park Place Blvd
5TH Floor
Clearwater, FL 33759-4904
Phone (727) 755-0693

Other names 1

  • Northern Valley Eye Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ridge Eye Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1386015014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PARK PLACE BLVD",
            "address_2": "5TH FLOOR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594904",
            "telephone_number": "727-755-0693",
            "fax_number": "727-755-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MISSION RANCH BLVD",
            "address_2": "#50",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959265137",
            "telephone_number": "530-891-1900",
            "fax_number": "530-895-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "WORTHEN",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "727-755-0693",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Valley Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.