Active NPI
Douglas O. Fleming, O.D., Inc.
Doing business as Sierra Vista Optometry
- Optometrist
- Sonora, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9525T
- Legal business name
- DOUGLAS O. FLEMING, O.D., INC.
- Doing business as
- Sierra Vista Optometry
- Practice address
- 940 Sylva LN Ste H
Sonora, CA 95370-5969 - Phone
- (209) 532-4123
- NPI assigned
- May 3, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas O. Fleming, OD
- Title
- Owner
- Phone
- (209) 532-4123
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9525T | CA | Primary |
Addresses
Primary practice location
940 Sylva LN Ste H
Sonora, CA 95370-5969
Mailing address
940 Sylva LN Ste H
Sonora, CA 95370-5969
Phone (209) 532-4123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GSD000290 | Medicaid | CA |
Other names 1
- Sierra Vista Optometry
National Provider Directory
National Provider DirectoryLocations
940 Sylva Ln
Ste H
Sonora, CA 95370
Phone (209) 532-4123
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Sonora, CA
- NPI 1871524611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689896847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 SYLVA LN STE H",
"city": "SONORA",
"state": "CA",
"postal_code": "953705969",
"telephone_number": "209-532-4123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 SYLVA LN STE H",
"city": "SONORA",
"state": "CA",
"postal_code": "953705969",
"telephone_number": "209-532-4123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS O. FLEMING, O.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FLEMING",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-532-4123",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "9525T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GSD000290",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sierra Vista Optometry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.