Organization Active NPI

Sac Kids Eyes Inc

  • Ophthalmology Physician
  • Sacramento, CA
National Provider Identifier
1447647227
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G63403 Issued in CA
Legal business name
SAC KIDS EYES INC
Practice address
83 Scripps Dr
Ste 220
Sacramento, CA 95825-6383
Phone
(916) 737-3456
NPI assigned
Apr 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Denise Satterfield, M.D.
Title
Ceo/ MD
Phone
(916) 737-3456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G63403 CA Primary

Addresses

Primary practice location

83 Scripps Dr
Ste 220
Sacramento, CA 95825-6383

Mailing address

83 Scripps Dr
Ste220
Sacramento, CA 95825-6319
Phone (916) 737-3456

Other identifiers 2

IdentifierTypeStateIssuer
00G634030MedicaidCA
00G634030OtherCAMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1447647227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SCRIPPS DR",
            "address_2": "STE220",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256319",
            "telephone_number": "916-737-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 SCRIPPS DR",
            "address_2": "STE 220",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256383",
            "telephone_number": "916-737-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAC KIDS EYES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "SATTERFIELD",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CEO/ MD",
        "authorized_official_telephone_number": "916-737-3456",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G63403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G634030",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00G634030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.