NPIMap

Organization Active NPI

Genevieve Kim Corrigan OD Inc

  • Optometrist
  • El Dorado Hills, CA
National Provider Identifier
1861959280
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GENEVIEVE KIM CORRIGAN OD INC
Practice address
2209 Francisco Dr Ste 150
El Dorado Hills, CA 95762-3805
Phone
(916) 933-5335
Fax
(916) 933-9168
NPI assigned
Feb 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Genevieve Kim Corrigan, ODNPI 1295738847
Title
President/ Optometrist
Phone
(916) 933-5535

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2209 Francisco Dr Ste 150
El Dorado Hills, CA 95762-3805

Mailing address

2209 Francisco Dr Ste 150
El Dorado Hills, CA 95762-3805
Phone (916) 933-5535

Other names 1

  • El Dorado Hills Optometric Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190701001611 CA Part B Supplier - Clinic/Group Practice 6204160815 Receives reassigned benefits from 4 practitioners
Practice locations: El Dorado Hills, CA

National Provider Directory

National Provider Directory

Locations

1011 Saint Andrews Dr
Ste F
El Dorado Hls, CA 95762
Phone (916) 933-5535

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1861959280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 FRANCISCO DR STE 150",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957623805",
            "telephone_number": "916-933-5535",
            "fax_number": "916-933-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 FRANCISCO DR STE 150",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957623805",
            "telephone_number": "916-933-5335",
            "fax_number": "916-933-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVIEVE KIM CORRIGAN OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "CORRIGAN",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT/ OPTOMETRIST",
        "authorized_official_telephone_number": "916-933-5535",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Dorado Hills Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "El Dorado Hills Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.