Neil Ross Nebeker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT7293TPL Issued in CA

Practice address

197 W El Portal Dr
Suite a
Merced, CA 95348-2849

Phone

(209) 722-1488

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthy Eyes Optometry Inc

  • Optometrist
  • Folsom, CA
  • NPI 1316135759
  NPD

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679566020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 W EL PORTAL DR STE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482850",
            "telephone_number": "209-384-2110",
            "fax_number": "209-384-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 W EL PORTAL DR",
            "address_2": "SUITE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482849",
            "telephone_number": "209-722-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEBEKER",
        "first_name": "NEIL",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2023-03-07",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7293TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8653714",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrie Jael Navarro
• Christopher R Navarro, LVN
• Guadalupe Navarro
• Jennifer Navarro
• Navpreet Kaur LLC
• Brandon Needens, BCBA
• Devin Elaine Neely
• Linda Hiedi Negrete
• April Neiser
• Kalin Nelson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.