Shasta Professional Eye Care Center, Doctors of Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SHASTA PROFESSIONAL EYE CARE CENTER, DOCTORS OF OPTOMETRY, INC.

Practice address

1225 Eureka Way # a
Redding, CA 96001-0815

Phone

(530) 241-9650

NPI assigned

Oct 5, 2006

Last updated

Nov 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Curtis V Newcomb, O.D.NPI 1043307846

Title

Owner

Phone

(530) 241-9650

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

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.

• Curtis Victor Newcomb, O.D.

  • Optometrist
  • Redding, CA
  • NPI 1043307846
  Medicare reassignment Care Compare group NPD Authorized official
• Janet Anne Newcomb, O.D.

  • Optometrist
  • Redding, CA
  • NPI 1649367442
  Medicare reassignment Care Compare group NPD
• Julie Lynn Gussenhoven, OD

  • Optometrist
  • Redding, CA
  • NPI 1881625465
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1811084601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 EUREKA WAY # A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010815",
            "telephone_number": "530-241-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 EUREKA WAY # A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010815",
            "telephone_number": "530-241-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASTA PROFESSIONAL EYE CARE CENTER, DOCTORS OF OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "NEWCOMB",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-241-9650",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shasta Medical Lab
• Shasta Nutrition Services
• Shasta Orthopedics & Sports Medicine a Medical Corporation (Shasta Orthopaedics and Sports Medicine)
• Shasta Physical Therapy
• Shasta Primary Care LLC
• Shasta Regional Emergency Medical Associates, Inc
• Shasta Regional Medical Center, LLC
• Shasta Regional Medical Group Inc (Shasta Community Medical Group)
• Shasta Regional Medical Group Inc (Shasta Community Medical Group)
• Shasta Sleep Services LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.