NPIMap

Organization Active NPI

Fogg Remington Eyecare Inc

  • Ophthalmology Physician
  • Fresno, CA
National Provider Identifier
1437971082
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
FOGG REMINGTON EYECARE INC
Practice address
1648 E Herndon Ave Ste 101
Fresno, CA 93720-3381
Phone
(559) 449-5010
NPI assigned
Oct 25, 2024
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FOGG REMINGTON EYECARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Christel Marquez
Title
Business Office Manager
Phone
(559) 244-3002

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

1648 E Herndon Ave Ste 101
Fresno, CA 93720-3381

Mailing address

1360 E Herndon Ave Ste 401
Fresno, CA 93720-3326

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423001093 CA Part B Supplier - Clinic/Group Practice 7911993902 Receives reassigned benefits from 30 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clovis, CA; Fresno, CA; Madera, CA; Oakhurst, CA

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Tax ID family
Fogg Maxwell Lanier MD8 organizations share this tax ID, including this one
Part of
Fogg Maxwell Lanier MD

Other organizations with this tax ID 7

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

Locations

2401 W Cleveland Ave
Madera, CA 93637
Phone (559) 449-5010

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1437971082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE STE 401",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 E HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203381",
            "telephone_number": "559-449-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOGG REMINGTON EYECARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOGG REMINGTON EYECARE INC",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "CHRISTEL",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "559-244-3002"
    },
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.