Active NPI
Zeiter Eye Medical Group, Inc
Doing business as Lodi Eye Care Group
- Optometrist
- Lodi, CA
National Provider Identifier
1508117789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- ZEITER EYE MEDICAL GROUP, INC
- Doing business as
- Lodi Eye Care Group
- Practice address
- 421 S Ham LN
Suite B
Lodi, CA 95242-3523 - Phone
- (209) 368-5352
- Fax
- (209) 368-5355
- NPI assigned
- Sep 27, 2012
- Last updated
- Jan 29, 2013
- Organization subpart
- Yes
- Parent organization
- ZEITER EYE MEDICAL GROUP, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John H Zeiter, MD
- Title
- President
- Phone
- (209) 466-5566
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 19590 | CA | |
| Optometrist | 152W00000X | CA | Primary |
Addresses
Primary practice location
421 S Ham LN
Suite B
Lodi, CA 95242-3523
Mailing address
255 E Weber Ave
Stockton, CA 95202-2706
Phone (209) 466-5566
Other names 1
- Lodi Eye Care Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050128000910 | CA | Part B Supplier - Clinic/Group Practice | 8527018316 |
Receives reassigned benefits from 13 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Angels Camp, CA; Valley Springs, CA; Tracy, CA; Sutter Creek, CA; Stockton, CA; Elk Grove, CA; Jackson, CA; Manteca, CA… |
Other NPIs on the same Medicare enrollment 10
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Ophthalmology Physician
- Stockton, CA
- NPI 1376815605
O20050128000910
National Provider Directory
National Provider Directory- Part of
- Peter V Hetzner OD
Locations
421 S Ham Ln
Ste B
Lodi, CA 95242
Phone (209) 368-5352
Practitioners & affiliated clinicians
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.
-
- Ophthalmology Physician
- Stockton, CA
- NPI 1447330634
-
- Ophthalmology Physician
- Stockton, CA
- NPI 1740804590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359417600000",
"number": "1508117789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 E WEBER AVE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022706",
"telephone_number": "209-466-5566",
"fax_number": "209-466-0535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 S HAM LN",
"address_2": "SUITE B",
"city": "LODI",
"state": "CA",
"postal_code": "952423523",
"telephone_number": "209-368-5352",
"fax_number": "209-368-5355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZEITER EYE MEDICAL GROUP, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ZEITER EYE MEDICAL GROUP, INC",
"enumeration_date": "2012-09-27",
"last_updated": "2013-01-29",
"status": "A",
"authorized_official_last_name": "ZEITER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "209-466-5566",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "19590",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lodi Eye Care Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.