Active NPI
Curtis Wesley Meredith, O.D.
- Optometrist
- Lincoln, CA
National Provider Identifier
1619945672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7010 TPL
- Practice address
- 69 Lincoln Blvd
Ste F
Lincoln, CA 95648-6303 - Phone
- (916) 408-0103
- Fax
- (916) 408-0117
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7010 TPL | CA | Primary |
Addresses
Primary practice location
69 Lincoln Blvd
Ste F
Lincoln, CA 95648-6303
Mailing address
69 Lincoln Blvd Ste F
Lincoln, CA 95648-6307
Phone (916) 408-0103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0070100 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7010 TPL | CA | MD | Optometrist |
| 7010 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1619945672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 LINCOLN BLVD STE F",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956486307",
"telephone_number": "916-408-0103",
"fax_number": "916-408-0117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 LINCOLN BLVD",
"address_2": "STE F",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956486303",
"telephone_number": "916-408-0103",
"fax_number": "916-408-0117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEREDITH",
"first_name": "CURTIS",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "7010 TPL",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0070100",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.