Obbie Pennington, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14511 Issued in CA

Practice address

2109 Forest Ave
Suite 50
Chico, CA 95928-7708

Phone

(530) 342-9644

Fax

(530) 342-7547

NPI assigned

Jul 28, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: obbiepennington@chicovisioncare.eyefinity-direct.com
• Direct secure messaging: opennington@chicovisioncare.eyefinitydirect.com

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.

• Pennington Optometric Corporation

  • Optometrist
  • Chico, CA
  • NPI 1104443399
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1343433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1770839664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 FOREST AVE",
            "address_2": "SUITE 50",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287708",
            "telephone_number": "530-342-9644",
            "fax_number": "530-342-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 FOREST AVE",
            "address_2": "SUITE 50",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287708",
            "telephone_number": "530-342-9644",
            "fax_number": "530-342-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "OBBIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-28",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CA122066",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Penca
• Elisa Pendergraft
• Linda Pendleton, PA-C
• Deborah Ann Penner, DC
• Pennington Optometric Corporation
• Mallory Elisa Penzotti
• Maximus Johannes Peperkamp
• Sydney Pepper, C-FSD
• Ellen Rose Perdue, R.N.
• Emily Christine Pereira

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.