Eric Matthew Fennema, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT8225TPL Issued in CA

Practice address

29950 Haun Rd
Suite 206
Sun City, CA 92586-6526

Phone

(951) 679-0545

Fax

(951) 679-6154

NPI assigned

Dec 12, 2006

Sex

Male

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

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

Specialty

Optometry

Education

Southern California College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inland Eye Specialists a Medical Corp 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.53 of 100Reported as group

Quality

88.72

Promoting interoperability

99

Improvement activities

40

Cost

77.55

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (3 of 4)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: eric.fennema.p3@direct.inlandeyespecialists.nextgenshare.com

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.

• Inland Eye Specialists a Medical Corp

  • Ophthalmology Physician
  • Hemet, CA
  • NPI 1083622567

  CA, Optometrist

  Medicare reassignment Care Compare group NPD
• Inland Eye Specialists a Medical Corp

  • Optometrist
  • Temecula, CA
  • NPI 1114950086
  Care Compare group NPD (past)
• Inland Eye Specialists a Medical Corp

  • Ambulatory Surgical Clinic/Center
  • Hemet, CA
  • NPI 1386677326
  Care Compare group
• Inland Eye Specialists a Medical Corp

  • Ambulatory Surgical Clinic/Center
  • Murrieta, CA
  • NPI 1871538140
  Care Compare group
• Inland Eye Specialists a Medical Corp

  • Ophthalmology Physician
  • Murrieta, CA
  • NPI 1942235643
  Care Compare group
• Inland Eye Specialists, a Medical Corporation

  • Ophthalmology Physician
  • Beaumont, CA
  • NPI 1518615947

  Optometrist

  NPD

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1710048939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29950 HAUN RD",
            "address_2": "SUITE 206",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925866526",
            "telephone_number": "951-679-0545",
            "fax_number": "951-679-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29950 HAUN RD",
            "address_2": "SUITE 206",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925866526",
            "telephone_number": "951-679-0545",
            "fax_number": "951-679-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNEMA",
        "first_name": "ERIC",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8225TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faculty Physicians and Surgeons of Llusm
• Faculty Physicians and Surgeons of Llusm
• Family Medicine Mary Chau DO Inc
• Eric Lucas Fearing, DPT
• Melany Felix
• Maria Ivonne Fonseca, MSW, LCSW
• Katherine Mary Frank
• Jill Elizabeth Frazer, PT
• G. Matin D.D.S Inc.
• Bryan Galeana

• All providers in Sun City, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.

Verify at the official NPI Registry.