Organization Active NPI

Eye Care Center of Napa Valley a Medical Corporation

  • Ophthalmology Physician
  • Napa, CA
National Provider Identifier
1790781409
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE CARE CENTER OF NAPA VALLEY A MEDICAL CORPORATION
Practice address
895 Trancas St
Napa, CA 94558-3040
Phone
(707) 252-2020
Fax
(707) 252-0329
NPI assigned
Jun 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Authorized official

Name
Kena Burke
Title
Practice Administrator
Phone
(707) 252-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

895 Trancas St
Napa, CA 94558-3040

Mailing address

895 Trancas St
Napa, CA 94558-3040
Phone (707) 252-2020

Other identifiers 1

IdentifierTypeStateIssuer
GR0081110MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040923001129 CA Part B Supplier - Clinic/Group Practice 5496723793 Receives reassigned benefits from 11 practitioners
Practice locations: Saint Helena, CA; Napa, CA; American Canyon, CA
O20100930052485 CA DME Supplier - Physician - OphthalmologyDME Supplier - Optician 5496723793 Practice locations: Napa, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eyecare Center of Napa Valley895 Trancas St, Napa, CA 94558-3040(707) 252-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Sep 3, 1998

National Provider Directory

National Provider Directory

Locations

3417 Broadway St
Ste J
American Canyon, CA 94503

3417 Broadway St
Ste J3
American Cyn, CA 94503
Phone (707) 553-6020

895 Trancas St
#A
Napa, CA 94558
Phone (707) 252-2020

6 Woodland Rd
Saint Helena, CA 94574
Phone (707) 302-1100

2100 Webster St
Ste 505
San Francisco, CA 94115
Phone (415) 923-3377

Interoperability endpoints

  • Direct secure messaging: jtran@eyecarecenternv.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 11

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": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1790781409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 TRANCAS ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583040",
            "telephone_number": "707-252-2020",
            "fax_number": "707-252-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 TRANCAS ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583040",
            "telephone_number": "707-252-2020",
            "fax_number": "707-252-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE CENTER OF NAPA VALLEY A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "KENA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "707-252-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0081110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.