Amy Pelzner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA11880T Issued in CA

Practice address

705 E Bidwell St Ste 10
Folsom, CA 95630-3315

Phone

(916) 983-6211

NPI assigned

Jun 5, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Robert a Hoffman

  • Optometrist
  • Folsom, CA
  • NPI 1104121961
  NPD (past)

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1699036764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 BUCHANAN WAY",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306919",
            "telephone_number": "916-204-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E BIDWELL ST STE 10",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303315",
            "telephone_number": "916-983-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELZNER",
        "first_name": "AMY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA11880T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer R Pearson, MFT
• Robert Erick Pecha, M.D.
• Jamie Pedersen, LPCC
• Mariana Pelagio
• Kristen Emly Pellegrino, M.D.
• Margaret Michele Penkala, MD
• Carlos Gabriel Perez, M.D.
• Michael Perez
• Ramiro Moises Perez, PHARM.D.
• Romula Perez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.