S & R Ventures Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

6466T Issued in CA

Legal business name

S & R VENTURES INC

Doing business as

Stephen J Ingman OD

Practice address

11879 Kemper Rd
Ste 6
Auburn, CA 95603-9021

Phone

(530) 823-5411

Fax

(530) 823-5380

NPI assigned

Jun 19, 2006

Last updated

Apr 27, 2011By 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

Stephen John Ingman, ODNPI 1811178395

Title

President Optometrist

Phone

(530) 823-5411

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Stephen J Ingman OD Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Stephen John Ingman, O.D.

  • Optometrist
  • Auburn, CA
  • NPI 1811178395
  Medicare reassignment NPD Authorized official
• William Payne Richardson, O.D.

  • Optometrist
  • Auburn, CA
  • NPI 1588685044
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1417992843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11879 KEMPER RD",
            "address_2": "STE 6",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039021",
            "telephone_number": "530-823-5411",
            "fax_number": "530-823-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11879 KEMPER RD",
            "address_2": "STE 6",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039021",
            "telephone_number": "530-823-5411",
            "fax_number": "530-823-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & R VENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "INGMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT OPTOMETRIST",
        "authorized_official_telephone_number": "530-823-5411",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6466T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "P00742598",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2820714",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen J Ingman OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Susana Ruelas, FNP
• Shelley R. Rutherford, MD
• David Ryan, RPH
• Diana Lynn Ryan
• Susan Margaret Ryan, DPM
• S. Jang DDS Incorporated (Smile Time Dental)
• S.Y. Jang DDS Corporatiom (Make A Smile)
• S.Y.Y Jang DDS Corp (Kids Dentist Plus)
• Safeway Inc (Safeway Pharmacy #3122)
• Ramez Sakkab

• Optometrist in Auburn, CA
• Providers in Auburn, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.