Organization Active NPI

DRS Lim and Schrader Ods

  • Optometrist
  • Davis, CA
National Provider Identifier
1740290683
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5769T Issued in CA
Legal business name
DRS LIM AND SCHRADER ODS
Practice address
1109 Kennedy PL 1
Davis, CA 95616-1271
Phone
(530) 756-2481
Fax
(530) 756-3548
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Authorized official

Name
Dr. Wayne C. Schrader, ODNPI 1932109410
Title
Partner
Phone
(530) 756-2481

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5769T CA Primary

Addresses

Primary practice location

1109 Kennedy PL 1
Davis, CA 95616-1271

Mailing address

1109 Kennedy PL 1
Davis, CA 95616-1271
Phone (530) 756-2481

Other identifiers 1

IdentifierTypeStateIssuer
YYY49118YMedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1740290683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 KENNEDY PL 1",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161271",
            "telephone_number": "530-756-2481",
            "fax_number": "530-756-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 KENNEDY PL 1",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161271",
            "telephone_number": "530-756-2481",
            "fax_number": "530-756-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS LIM AND SCHRADER ODS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "530-756-2481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5769T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YYY49118Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.