John J Eliopulos O.D. Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

6207 Issued in CA

Legal business name

JOHN J ELIOPULOS O.D. INC

Practice address

9074 Elk Grove Blvd
Elk Grove, CA 95624-2073

Phone

(916) 685-6100

Fax

(916) 685-0279

NPI assigned

Apr 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John J Eliopulos, O.D.NPI 1619930500

Title

President

Phone

(916) 685-6100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John J Eliopulos, O.D.

  • Optometrist
  • Elk Grove, CA
  • NPI 1619930500
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1760654537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9074 ELK GROVE BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242073",
            "telephone_number": "916-685-6100",
            "fax_number": "916-685-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9074 ELK GROVE BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242073",
            "telephone_number": "916-685-6100",
            "fax_number": "916-685-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J ELIOPULOS O.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "ELIOPULOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-685-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seajal Jivan, PHARMD
• Eddy Y Joelson, M.D.
• Johal and Ghazal Dental Corporation (Elk Grove Dental Group)
• Inaksh Johal, DDS
• Taranjit Johl
• Jisa John
• Charlotte Johnson
• Ciera Johnson
• Faith Johnson
• Heather Johnson, LMFT

• Optometrist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.