Individual provider Active NPI

Kelli G Garcia, O.D.

  • Optometrist
  • Sutter Creek, CA
National Provider Identifier
1821278714
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT13223 Issued in CA
Practice address
10 Bryson Dr
Sutter Creek, CA 95685-4118
Phone
(209) 223-1402
Fax
(209) 267-0427
NPI assigned
Nov 7, 2007
Last updated
Apr 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT13223 CA Primary

Addresses

Primary practice location

10 Bryson Dr
Sutter Creek, CA 95685-4118

Mailing address

10 Bryson Dr
Sutter Creek, CA 95685-4118
Phone (209) 223-1402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070711001029 CA Practitioner - Optometry 5799677852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amador Eye Care Associates OptometryGroup PAC ID 1052530615, 2 clinicians

Practice addresses (Care Compare)

10 Bryson Dr
Sutter Creek, CA 95685-4118
Phone (209) 223-1402

Merit-based Incentive Payment System (MIPS)

Final score
99.21 of 100Reported as group
Quality
97.19
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3231FLMDOptician
13223CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Eye Center Past Accepting new patients
Peninsula Eye Physicians Medical Group,Inc. Past Accepting new patients
Granite Pointe Eye Care, Inc., an Optometric Corporation Optometrist Past Accepting new patients
Eyewearllc Past Accepting new patients
Pinnacle Eye Center Inc PastSince Sep 1, 2000 Accepting new patients
Florida Eye Consultants Inc PastSince Jan 26, 1998 Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1821278714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BRYSON DR",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956854118",
            "telephone_number": "209-223-1402",
            "fax_number": "209-267-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BRYSON DR",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956854118",
            "telephone_number": "209-223-1402",
            "fax_number": "209-267-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "KELLI",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutter Creek, CA

Sources for this page

Verify at the official NPI Registry.