Active NPI
Garrick T Sit, O.D.
- Optometrist
- Escondido, CA
National Provider Identifier
1710982806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10419T
- Practice address
- 324 S Kalmia Street
Escondido, CA 92025 - Phone
- (760) 741-7497
- Fax
- (760) 741-7729
- NPI assigned
- Jun 16, 2005
- Reactivated
- Apr 6, 2006
- Sex
- Male
- 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 | 10419T | CA | Primary |
Addresses
Primary practice location
324 S Kalmia Street
Escondido, CA 92025
Mailing address
324 S Kalmia Street
Escondido, CA 92025
Phone (760) 741-7497
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4194050001 | Other | CA | DMERC PROVIDER # |
| 41068 | Other | CA | COLE MANAGED CARE |
| 48609 | Other | CA | SAFEGUARD DENTAL/VISION |
| SD0104190 | Medicaid | CA | |
| 917603 | Other | CA | BLOCK VISION |
| 117500 | Other | CA | EYE MED VISION CARE |
| 13450 | Other | CA | MEDICAL EYE SERVICES PROV |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121206000203 | CA | Practitioner - Optometry | 8123270758 | Practice locations: Escondido, CA |
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": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198627200000",
"number": "1710982806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 S KALMIA STREET",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "92025",
"telephone_number": "760-741-7497",
"fax_number": "760-741-7729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 S KALMIA STREET",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "92025",
"telephone_number": "760-741-7497",
"fax_number": "760-741-7729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIT",
"first_name": "GARRICK",
"middle_name": "T",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2007-12-26",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10419T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC PROVIDER #",
"identifier": "4194050001",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLE MANAGED CARE",
"identifier": "41068",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAFEGUARD DENTAL/VISION",
"identifier": "48609",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0104190",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLOCK VISION",
"identifier": "917603",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED VISION CARE",
"identifier": "117500",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EYE SERVICES PROV",
"identifier": "13450",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.