Alan Irving Sladky, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10999T Issued in CA

Practice address

7465 Rush River Dr
Suite 410
Sacramento, CA 95831-5255

Phone

(916) 395-3937

NPI assigned

Dec 9, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr Alan Kirsch - Eyelusions

  • Optometrist
  • Sacramento, CA
  • NPI 1609917871
  NPD (past)

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720148083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7465 RUSH RIVER DR",
            "address_2": "SUITE 410",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958315255",
            "telephone_number": "916-395-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7465 RUSH RIVER DR",
            "address_2": "SUITE 410",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958315255",
            "telephone_number": "916-395-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADKY",
        "first_name": "ALAN",
        "middle_name": "IRVING",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10999T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD1099900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Sacramento, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.