Individual provider Active NPI

Nila Welker, O.D.

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1730230525
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
100005 Issued in CA
Practice address
515 L St
Downtown Plaza Shopping Center #A1024
Sacramento, CA 95814-3340
Phone
(916) 554-1080
Fax
(916) 554-1088
NPI assigned
Jan 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 100005 CA Primary

Addresses

Primary practice location

515 L St
Downtown Plaza Shopping Center #A1024
Sacramento, CA 95814-3340

Mailing address

8709 Spring House Way
Elk Grove, CA 95624-1231
Phone (916) 681-3500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000363 CA Practitioner - Optometry 4789584509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Eyes Optometry IncGroup PAC ID 5698956449, 6 clinicians

Practice addresses (Care Compare)

4917 Golden Foothill Pkwy
Suite a
El Dorado Hills, CA 95762-9632
Phone 9169413800101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100005CAMDOptometrist
10005CAMDAmbulatory Surgical Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Eyes Optometry Inc Optometrist CurrentSince Jun 1, 2020 Accepting new patients
Han and Rodriguez-Bayes Optometry General Partnership Optometrist PastSince Jun 1, 2020 Accepting new patients
Luxottica of America Inc. Past Accepting new patients

Locations

4917 Golden Foothill Pkwy
El Dorado Hills, CA 95762
Phone (916) 941-3800

4917 Golden Foothill Pkwy
Ste A
El Dorado Hills, CA 95762
Phone (916) 934-2689

2690 E Bidwell St
Ste 500
Folsom, CA 95630
Phone (916) 549-6728

197 W El Portal Dr
Ste A
Merced, CA 95348
Phone (209) 384-2110

1287 Broadway
Placerville, CA 95667
Phone (530) 622-1711

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730230525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8709 SPRING HOUSE WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241231",
            "telephone_number": "916-681-3500",
            "fax_number": "916-554-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 L ST",
            "address_2": "DOWNTOWN PLAZA SHOPPING CENTER #A1024",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958143340",
            "telephone_number": "916-554-1080",
            "fax_number": "916-554-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELKER",
        "first_name": "NILA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "100005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.