Organization Active NPI

Visually Sound Optometry

  • Optometrist
  • Folsom, CA
National Provider Identifier
1821508540
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISUALLY SOUND OPTOMETRY
Practice address
410 Palladio Pkwy Ste 1625
Folsom, CA 95630-8829
Phone
(916) 985-6399
NPI assigned
Oct 8, 2017
Last updated
Dec 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Dr. Samantha Jo Combs, O.D.NPI 1780036103
Title
President
Phone
(916) 806-1808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CA Primary

Addresses

Primary practice location

410 Palladio Pkwy Ste 1625
Folsom, CA 95630-8829

Mailing address

1824 Bankfoot CT
Folsom, CA 95630-5304
Phone (916) 806-1808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171115003797 CA Part B Supplier - Clinic/Group Practice 3678839115 Receives reassigned benefits from 1 practitioner
Practice locations: Folsom, CA

National Provider Directory

National Provider Directory

Locations

410 Palladio Pkwy
Ste 1625
Folsom, CA 95630
Phone (916) 667-1488

Practitioners & affiliated clinicians

Practitioners 4

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": "1507420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1821508540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 BANKFOOT CT",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956305304",
            "telephone_number": "916-806-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PALLADIO PKWY STE 1625",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308829",
            "telephone_number": "916-985-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISUALLY SOUND OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-08",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-806-1808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.