Individual provider Active NPI

Christine Louise Mayer, O.D.

  • Optometrist
  • Vacaville, CA
National Provider Identifier
1689645723
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7004 Issued in CA
Practice address
2581 Nut Tree Rd
Suite C
Vacaville, CA 95687-6915
Phone
(707) 447-1332
Fax
(707) 447-4894
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7004 CA Primary

Addresses

Primary practice location

2581 Nut Tree Rd
Suite C
Vacaville, CA 95687-6915

Mailing address

2581 Nut Tree Rd
Suite C
Vacaville, CA 95687-6915
Phone (707) 447-1332

Other identifiers 1

IdentifierTypeStateIssuer
SD0070040MedicaidCA

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

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1689645723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 NUT TREE RD",
            "address_2": "SUITE C",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876915",
            "telephone_number": "707-447-1332",
            "fax_number": "707-447-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 NUT TREE RD",
            "address_2": "SUITE C",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876915",
            "telephone_number": "707-447-1332",
            "fax_number": "707-447-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "CHRISTINE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0070040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.