Organization Active NPI

Sac Eye MD Inc.

  • Ophthalmology Physician
  • Carmichael, CA
National Provider Identifier
1790316396
Registry record updated Feb 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SAC EYE MD INC.
Practice address
6444 Coyle Ave Ste 1
Carmichael, CA 95608-0300
Phone
(310) 962-3417
NPI assigned
Feb 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2020

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

Authorized official

Name
Dr. Jenny Chou, MDNPI 1497879449
Title
President
Phone
(310) 962-3417

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

6444 Coyle Ave Ste 1
Carmichael, CA 95608-0300

Mailing address

6444 Coyle Ave Ste 1
Carmichael, CA 95608-0300

Other names 1

  • Sac Eye MD Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Drchoumd@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200518000324 CA Part B Supplier - Clinic/Group Practice 4587095047 Receives reassigned benefits from 1 practitioner
Practice locations: Carmichael, CA

National Provider Directory

National Provider Directory

Locations

6444 Coyle Ave
Ste 1
Carmichael, CA 95608
Phone (310) 962-3417

Practitioners & affiliated clinicians

Practitioners 1

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": "1580515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580515200000",
    "number": "1790316396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6444 COYLE AVE STE 1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 COYLE AVE STE 1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080300",
            "telephone_number": "310-962-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAC EYE MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-01",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-962-3417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Drchoumd@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6444 Coyle Ave Ste 1",
            "city": "Carmichael",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956080300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sac Eye MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2020; 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.