Individual provider Active NPI

Luke David Page, O.D.

  • Optometrist
  • Redding, CA
National Provider Identifier
1760176077
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35510 Issued in CA
Practice address
2770 Eureka Way Ste 100
Redding, CA 96001-0252
Phone
(530) 222-7271
NPI assigned
Jun 8, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35510 CA Primary

Addresses

Primary practice location

2770 Eureka Way Ste 100
Redding, CA 96001-0252

Mailing address

3222 Majestic Oak Cir
Cottonwood, CA 96022-9568
Phone (530) 366-6303

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
I20230719001820 CA Practitioner - Optometry 8325408578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kristi K Davis OD IncGroup PAC ID 9436211141, 3 clinicians

Practice addresses (Care Compare)

2770 Eureka Way
Suite 100
Redding, CA 96001-0252
Phone (530) 222-7271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35510CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kristi K Davis OD Inc Optometrist CurrentSince Aug 1, 2023 Accepting new patients

Locations

2770 Eureka Way
Ste 100
Redding, CA 96001
Phone (530) 222-7271

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1760176077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 MAJESTIC OAK CIR",
            "city": "COTTONWOOD",
            "state": "CA",
            "postal_code": "960229568",
            "telephone_number": "530-366-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 EUREKA WAY STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010252",
            "telephone_number": "530-222-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "LUKE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.