Individual provider Active NPI

Donald Calvin Fletcher, M.D.

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1689633638
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04-33631 Issued in KS
Practice address
2340 Clay St # 514
San Francisco, CA 94115-1932
Phone
(415) 600-3901
Fax
(415) 600-3949
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 04-33631 KS
Addiction Medicine (Family Medicine) Physician 207QA0401X 10260037-1205 UT
Ophthalmology Physician 207W00000X ME0052066 FL
Ophthalmology Physician 207W00000X G56961 CA
Ophthalmology Physician 207W00000X 04-33631 KS Primary

Addresses

Primary practice location

2340 Clay St # 514
San Francisco, CA 94115-1932

Mailing address

250 W Douglas Ave Apt 2516
Wichita, KS 67202-3119
Phone (650) 346-7760

Other identifiers 4

IdentifierTypeStateIssuer
063296100MedicaidFL
180022165OtherFLRAILROAD MEDICARE
CA7010OtherFLRAILROAD MEDICARE GROUP
374440000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041203000502 CA Practitioner - OphthalmologyPractitioner - Physical Medicine and Rehabilitation 1759347594 Practice locations: San Francisco, CA
I20091030000218 KS Practitioner - OphthalmologyPractitioner - Physical Medicine and Rehabilitation 1759347594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Physical Medicine and Rehabilitation
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

610 N Main St
Wichita, KS 67203-3618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13672ALMDPharmacist
10260037-1205UTMDAddiction Medicine (Family Medicine) Physician
G56961CAMDOphthalmology Physician
ME0052066FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Donald C Fletcher MD LLC Ophthalmology CurrentSince Aug 26, 2009 Accepting new patients
Bert M. Glaser National Retina Institute, LLC Ophthalmology Past Accepting new patients
Retina Vitreous Consultants Ophthalmology PastSince Jul 1, 2025 Accepting new patients
Retina Specialists of North Alabama LLC Ophthalmology PastSince Jul 1, 2022 Accepting new patients
The Health Care Authority of the City of Huntsville Past Accepting new patients

Locations

610 N Main St
Fl 2
Wichita, KS 67203
Phone (316) 440-1600

Interoperability endpoints

  • Direct secure messaging: donald.fletcher.p1@direct.nri.nextgenshare.com
  • Direct secure messaging: donald.fletcher.p1@direct.californiaeye.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1689633638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W DOUGLAS AVE APT 2516",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023119",
            "telephone_number": "650-346-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 CLAY ST # 514",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151932",
            "telephone_number": "415-600-3901",
            "fax_number": "415-600-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "DONALD",
        "middle_name": "CALVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KS",
            "license": "04-33631",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "UT",
            "license": "10260037-1205",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0052066",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G56961",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-33631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063296100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180022165",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CA7010",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374440000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.