Active NPI
Elizabeth C Sweetnam, O.D.
- Optometrist
- Fremont, CA
National Provider Identifier
1699113258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8129
- Practice address
- 38707 Stivers St
Fremont, CA 94536-5337 - Phone
- (510) 794-0660
- Fax
- (510) 793-5044
- NPI assigned
- Jun 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8129 | CA | Primary |
Addresses
Primary practice location
38707 Stivers St
Fremont, CA 94536-5337
Mailing address
38707 Stivers St
Fremont, CA 94536-5337
Phone (510) 794-0660
Other names 1
- Elizabeth C Newcomb
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": "1370390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1699113258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38707 STIVERS ST",
"city": "FREMONT",
"state": "CA",
"postal_code": "945365337",
"telephone_number": "510-794-0660",
"fax_number": "510-793-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38707 STIVERS ST",
"city": "FREMONT",
"state": "CA",
"postal_code": "945365337",
"telephone_number": "510-794-0660",
"fax_number": "510-793-5044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEETNAM",
"first_name": "ELIZABETH",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-05",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "8129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "NEWCOMB",
"middle_name": "C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.