Eaton Optometric Group

Primary specialty

OptometristTaxonomy code 152W00000X

License

FNP 543 Issued in CA

Legal business name

EATON OPTOMETRIC GROUP

Practice address

4598 S Tracy Blvd Ste 130
Tracy, CA 95377-8107

Phone

(209) 835-1181

Fax

(209) 835-9396

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Sherri P Kaufmann

Title

Office Manager

Phone

(209) 835-1181

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank George Balestrery, O.D.

  • Optometrist
  • Tracy, CA
  • NPI 1194767160
  NPD (past)
• David William Hartzell, O.D.

  • Optometrist
  • Tracy, CA
  • NPI 1639113814
  NPD (past)
• David Charles Moline, OD

  • Optometrist
  • Tracy, CA
  • NPI 1134133929
  NPD (past)
• Timothy NG, O.D.

  • Optometrist
  • Stockton, CA
  • NPI 1063825156
  NPD (past)
• Brian Michael Yee, O.D.

  • Optometrist
  • Tracy, CA
  • NPI 1497733729
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1699894774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4598 S TRACY BLVD STE 130",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778107",
            "telephone_number": "209-835-1181",
            "fax_number": "209-835-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4598 S TRACY BLVD STE 130",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778107",
            "telephone_number": "209-835-1181",
            "fax_number": "209-835-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATON OPTOMETRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "KAUFMANN",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-835-1181"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "FNP 543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD001220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenna Dutchak
• Myla Dutchak
• Dva Healthcare Renal Care Inc (Tracy Dialysis)
• Melissa K Dyer, COUNSELOR 1
• Michael Richard Earle, D.D.S.
• Eaton Optometric Group, Inc.
• Eaton Pediatrics & Medical Corp.
• Ricardo Echon, FNP-C
• Eco Sound LLC
• Ecologically Sound Medical SRV

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.