NPIMap

Organization Active NPI

Sacramento Eye Consultants a Med Corp

Doing business as Sacramento Eye Consultants

  • Ophthalmology Physician
  • Sacramento, CA
National Provider Identifier
1730253287
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SACRAMENTO EYE CONSULTANTS A MED CORP
Doing business as
Sacramento Eye Consultants
Practice address
1515 Response Rd
Sacramento, CA 95815-4805
Phone
(916) 649-1515
Fax
(916) 649-1516
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Jacob Wellington Brubaker, MDNPI 1740433945
Title
Physician
Phone
(916) 649-1515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1515 Response Rd
Sacramento, CA 95815-4805

Mailing address

1515 Response Rd
Sacramento, CA 95815-4805
Phone (916) 649-1515

Other practice location 1

2295 Fieldstone Dr Ste 140
Lincoln, CA 95648-8807
Phone (916) 649-1515

Other practice location 2

1615 Creekside Dr Ste 110
Folsom, CA 95630-3491
Phone (916) 649-1515

Other identifiers 1

IdentifierTypeStateIssuer
GR0102650MedicaidCA

Other names 1

  • Sacramento Eye Consultants Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050315000447 CA Part B Supplier - Clinic/Group Practice 5597710319 Receives reassigned benefits from 12 practitioners
Practice locations: Sacramento, CA; Lincoln, CA; Folsom, CA

National Provider Directory

National Provider Directory

Locations

845 Twelve Bridges Dr
Ste 130
Lincoln, CA 95648
Phone (916) 226-9706

1515 Response Rd
Sacramento, CA 95815
Phone (916) 649-1515

3939 J St
Ste 102
Sacramento, CA 95819
Phone (916) 451-2922

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1730253287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 RESPONSE RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154805",
            "telephone_number": "916-649-1515",
            "fax_number": "916-649-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 RESPONSE RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154805",
            "telephone_number": "916-649-1515",
            "fax_number": "916-649-1516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2295 Fieldstone Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "CA",
            "postal_code": "956488807",
            "country_code": "US",
            "telephone_number": "916-649-1515",
            "fax_number": "916-649-1516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Creekside Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303491",
            "country_code": "US",
            "telephone_number": "916-649-1515",
            "fax_number": "916-649-1516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SACRAMENTO EYE CONSULTANTS A MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "BRUBAKER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "WELLINGTON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "916-649-1515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0102650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacramento Eye Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sacramento Eye Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.