Active NPI
Janet Caddell, O.D.
- Low Vision Rehabilitation Optometrist
- Santa Rosa, CA
National Provider Identifier
1700876760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- 8817T
- Practice address
- 2451 Summerfield Rd
Santa Rosa, CA 95405-7815 - Phone
- (707) 526-4050
- Fax
- (707) 569-1366
- NPI assigned
- Oct 21, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 8817T | CA | Primary |
Addresses
Primary practice location
2451 Summerfield Rd
Santa Rosa, CA 95405-7815
Mailing address
2451 Summerfield Rd
Santa Rosa, CA 95405-7815
Phone (707) 526-4050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2451 Summerfield Rd
Santa Rosa, CA 95405-7815
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8817T | CA | MD | Low Vision Rehabilitation Optometrist |
| 8817 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436140800000",
"number": "1700876760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 SUMMERFIELD RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954057815",
"telephone_number": "707-526-4050",
"fax_number": "707-569-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 SUMMERFIELD RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954057815",
"telephone_number": "707-526-4050",
"fax_number": "707-569-1366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADDELL",
"first_name": "JANET",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-21",
"last_updated": "2015-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "CA",
"license": "8817T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.