Individual provider Active NPI

Sharon L Yurko, O.D.

  • Optometrist
  • Elk Grove, CA
National Provider Identifier
1861455941
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8359T Issued in CA
Practice address
8246 Laguna Blvd
Suite 300
Elk Grove, CA 95758-7968
Phone
(916) 684-6688
Fax
(916) 684-6721
NPI assigned
Apr 10, 2006
Last updated
Nov 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8359T CA Primary

Addresses

Primary practice location

8246 Laguna Blvd
Suite 300
Elk Grove, CA 95758-7968

Mailing address

99 Bentley Ave
Sacramento, CA 95823-2431
Phone (916) 395-8776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8359TCAMDOptometrist
8359CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fifth Optometric Care of California Optometrist CurrentSince Oct 15, 2023 Accepting new patients
Fifth Optometric Care of California Optometrist Current Accepting new patients
Fifth Optometric Care of California Optometrist CurrentSince Oct 15, 2023 Accepting new patients

Locations

8246 Laguna Blvd
Ste 300
Elk Grove, CA 95758
Phone (916) 684-6688

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

Organizations & group practices 4

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1861455941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 BENTLEY AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232431",
            "telephone_number": "916-395-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8246 LAGUNA BLVD",
            "address_2": "SUITE 300",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587968",
            "telephone_number": "916-684-6688",
            "fax_number": "916-684-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURKO",
        "first_name": "SHARON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8359T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.