Organization Active NPI

Foreman Eye Care, Inc.

  • Ophthalmology Physician
  • Auburn, CA
National Provider Identifier
1396385241
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
FOREMAN EYE CARE, INC.
Practice address
3126 Professional Dr Ste 300
Auburn, CA 95603-2412
Phone
(530) 885-3767
Fax
(530) 885-3201
NPI assigned
Jan 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Mrs. Susan Robinson
Title
Office Manager
Phone
(530) 885-3767

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3126 Professional Dr Ste 300
Auburn, CA 95603-2412

Mailing address

3126 Professional Dr Ste 300
Auburn, CA 95603-2412
Phone (530) 885-3767

Other identifiers 1

IdentifierTypeStateIssuer
00A452040MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Direct@ForemanEyeCareAuburnCA.CompulinkDirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200311002426 CA Part B Supplier - Clinic/Group Practice 1759719479 Receives reassigned benefits from 4 practitioners
Practice locations: Auburn, CA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: direct@foremaneyecareauburnca.compulinkdirect.com

Practitioners & affiliated clinicians

Practitioners 4

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": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1396385241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 PROFESSIONAL DR STE 300",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032412",
            "telephone_number": "530-885-3767",
            "fax_number": "530-885-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 PROFESSIONAL DR STE 300",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032412",
            "telephone_number": "530-885-3767",
            "fax_number": "530-885-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREMAN EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-885-3767",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A452040",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@ForemanEyeCareAuburnCA.CompulinkDirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3126 Professional Dr Ste 300",
            "city": "Auburn",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956032412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.