Active NPI
Fogg Remington Eyecare, Inc.
- Ophthalmology Physician
- Oakhurst, CA
National Provider Identifier
1801859145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- FOGG REMINGTON EYECARE, INC.
- Practice address
- 40232 Junction Dr
Oakhurst, CA 93644-8719 - Phone
- (559) 658-6402
- Fax
- (559) 658-6476
- NPI assigned
- Apr 8, 2006
- Last updated
- Jun 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula Pendley
- Title
- Credentialing
- Phone
- (559) 449-5010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NU | Primary |
Addresses
Primary practice location
40232 Junction Dr
Oakhurst, CA 93644-8719
Mailing address
1360 E Herndon Ave Ste 401
Fresno, CA 93720-3326
Phone (559) 449-5010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0078924 | Medicaid | CA | |
| 1304310005 | Other | CA | CIGNA MEDICARE DMERC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | 5647.0004@directcaeye.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040423001093 | CA | Part B Supplier - Clinic/Group Practice | 7911993902 |
Receives reassigned benefits from 30 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Clovis, CA; Fresno, CA; Madera, CA; Oakhurst, CA |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Optometrist
- Fresno, CA
- NPI 1194845206
-
- Optometrist
- Lafayette, CA
- NPI 1871893974
-
- Ophthalmology Physician
- Fresno, CA
- NPI 1205898681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655251200000",
"number": "1801859145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 E HERNDON AVE STE 401",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203326",
"telephone_number": "559-449-5010",
"fax_number": "559-449-5014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40232 JUNCTION DR",
"city": "OAKHURST",
"state": "CA",
"postal_code": "936448719",
"telephone_number": "559-658-6402",
"fax_number": "559-658-6476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOGG REMINGTON EYECARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-08",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A",
"authorized_official_last_name": "PENDLEY",
"authorized_official_first_name": "PAULA",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "559-449-5010"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0078924",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA MEDICARE DMERC",
"identifier": "1304310005",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "5647.0004@directcaeye.nextgenshare.com",
"affiliation": "N",
"address_1": "40232 Junction Dr",
"city": "Oakhurst",
"state": "CA",
"country_code": "US",
"postal_code": "936448719",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oakhurst, CA
- Evelyn Joy Kagawa (Sierra Physical Therapy)
- Nina Diana Farley-Bates, L.C.S.W., D.B.H
- Joel Figatner, M.D.
- Kelly Renee Fine
- Fogg Remington Eyecare, Inc.
- Forest Follett, M.D.
- Ryan Joseph Franklin, D.D.S.
- Shannon Sue Freeman, APCC
- Fresno Community Hospital and Medical Center (Community Medical Center-Oakhurst RHC)
- Fresno Vamc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.