Organization Active NPI

Zeiter Eye Medical Group, Inc

  • Ophthalmology Physician
  • Tracy, CA
National Provider Identifier
1821230335
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ZEITER EYE MEDICAL GROUP, INC
Practice address
4598 S Tracy Blvd
Suite 130
Tracy, CA 95377-8107
Phone
(209) 466-5566
NPI assigned
Mar 30, 2009
Last updated
Jan 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
John H Zeiter, M.D.NPI 1447330634
Title
Officer
Phone
(209) 466-5566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

4598 S Tracy Blvd
Suite 130
Tracy, CA 95377-8107

Mailing address

255 E Weber Ave
Stockton, CA 95202-2706
Phone (209) 466-5566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050128000910 CA Part B Supplier - Clinic/Group Practice 8527018316 Receives reassigned benefits from 13 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Angels Camp, CA; Valley Springs, CA; Tracy, CA; Sutter Creek, CA; Stockton, CA; Elk Grove, CA; Jackson, CA; Manteca, CA…

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Peter V Hetzner OD15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1821230335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E WEBER AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022706",
            "telephone_number": "209-466-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4598 S TRACY BLVD",
            "address_2": "SUITE 130",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778107",
            "telephone_number": "209-466-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEITER EYE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "ZEITER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "209-466-5566",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.