Individual provider Active NPI

Jody R Bickford, O.D.

  • Optometrist
  • Redding, CA
National Provider Identifier
1699868653
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12047T Issued in CA
Practice address
2216 Buenaventura Blvd
Redding, CA 96001-3838
Phone
(530) 241-6550
Fax
(530) 241-1279
NPI assigned
Oct 2, 2006
Last updated
Apr 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12047T CA Primary

Addresses

Primary practice location

2216 Buenaventura Blvd
Redding, CA 96001-3838

Mailing address

PO Box 54
Palo Cedro, CA 96073-0054
Phone (530) 223-6586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110914000696 CA Practitioner - Optometry 7012188485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kristi K Davis OD IncGroup PAC ID 9436211141, 3 clinicians

Practice addresses (Care Compare)

2770 Eureka Way
Suite 100
Redding, CA 96001-0252
Phone (530) 222-7271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12047TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kristi K Davis OD Inc Optometrist CurrentSince Mar 1, 2021 Accepting new patients
Aurora V Barriga OD, a Professional Corporation Optometrist Current Accepting new patients
Luxottica of America Inc PastSince Feb 9, 2002 Accepting new patients

Locations

2770 Eureka Way
Ste 100
Redding, CA 96001
Phone (530) 222-7271

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1699868653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960730054",
            "telephone_number": "530-223-6586",
            "fax_number": "530-241-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 BUENAVENTURA BLVD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013838",
            "telephone_number": "530-241-6550",
            "fax_number": "530-241-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKFORD",
        "first_name": "JODY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12047T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.