Organization Active NPI

Family Eye Associates

  • Corneal and Contact Management Optometrist
  • Fairfield, CA
National Provider Identifier
1871619973
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPT8122TPA Issued in CA
Legal business name
FAMILY EYE ASSOCIATES
Practice address
3700 Hilborn Rd
Ste 500
Fairfield, CA 94534-7946
Phone
(707) 426-2020
NPI assigned
Mar 21, 2007
Last updated
Apr 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Dr. Katherine M Severin, O.D.NPI 1598752909
Title
Owner Optometrist
Phone
(707) 426-2020

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
Corneal and Contact Management Optometrist 152WC0802X OPT8122TPA CA Primary

Addresses

Primary practice location

3700 Hilborn Rd
Ste 500
Fairfield, CA 94534-7946

Mailing address

3700 Hilborn Rd
Ste 500
Fairfield, CA 94534-7946
Phone (707) 426-2020

Other identifiers 1

IdentifierTypeStateIssuer
5666727MedicaidCA

Other names 1

  • Katherine M Severin, O.D. Other name

National Provider Directory

National Provider Directory

Locations

2201 Boynton Ave
Fairfield, CA 94533
Phone (707) 422-2236

3700 Hilborn Rd
Ste 500
Fairfield, CA 94534
Phone (707) 426-2020

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1871619973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 HILBORN RD",
            "address_2": "STE 500",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347946",
            "telephone_number": "707-426-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 HILBORN RD",
            "address_2": "STE 500",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347946",
            "telephone_number": "707-426-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "SEVERIN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "707-426-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "OPT8122TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5666727",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katherine M Severin, O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.