Eye Sea Optometry Apc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE SEA OPTOMETRY APC

Practice address

231 C St
Davis, CA 95616-4521

Phone

(530) 758-4000

Fax

(530) 758-4016

NPI assigned

Apr 11, 2025

Organization subpart

No

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

Authorized official

Name

Gaganjot Kaur Virk, ODNPI 1326524638

Title

Authorized Official/OD/Owner

Phone

(530) 758-4000

Specialties & licenses 1

Addresses

Other names 1

• Eye Sea Davis Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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

• Gaganjot Virk, OD

  • Optometrist
  • Davis, CA
  • NPI 1326524638
  Medicare reassignment NPD Authorized official
• Dennis J Guerrieri, O.D.

  • Optometrist
  • Davis, CA
  • NPI 1366436917
  NPD
• Suhani Megh, OD

  • Optometrist
  • Sacramento, CA
  • NPI 1750181467
  NPD (past)

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1750176533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 C ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164521",
            "telephone_number": "530-758-4000",
            "fax_number": "530-758-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 C ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164521",
            "telephone_number": "530-758-4000",
            "fax_number": "530-758-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SEA OPTOMETRY APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "VIRK",
        "authorized_official_first_name": "GAGANJOT",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OD/OWNER",
        "authorized_official_telephone_number": "530-758-4000",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Sea Davis Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark William Evans, M.D., M.S.P.H.
• Megan E Evans, MFT
• Melissa Evans
• Mark P Ewens, M.D.
• Rebecca Ewert
• Maryjane Fabricius-Mooneyham
• Zachary Fairbrook
• Karen Falakfarsa, MFT
• Michelle Sherman Famula, M.D.
• Ruth Marya Fankushen, LMFT

• Optometrist in Davis, CA
• Providers in Davis, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.