Individual provider Active NPI

Jerry I. Laskey, O.D.

  • Optometrist
  • Chico, CA
National Provider Identifier
1689604423
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
GPT5422TPA Issued in CA
Practice address
680 Rio Lindo Ave Ste 20
Chico, CA 95926-1849
Phone
(530) 343-5541
NPI assigned
Jul 4, 2006
Last updated
Nov 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X GPT5422TPA CA Primary

Addresses

Primary practice location

680 Rio Lindo Ave Ste 20
Chico, CA 95926-1849

Mailing address

680 Rio Lindo Ave Ste 20
Chico, CA 95926-1849
Phone (530) 343-5541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040227000670 CA Practitioner - Optometry 9931095601 Practice locations: Chico, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GPT5422TPACAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1689604423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 RIO LINDO AVE STE 20",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261849",
            "telephone_number": "530-343-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 RIO LINDO AVE STE 20",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261849",
            "telephone_number": "530-343-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASKEY",
        "first_name": "JERRY",
        "middle_name": "I.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "GPT5422TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.