Organization Active NPI

Jeffery W Adkins MD

  • Ophthalmology Physician
  • Sacramento, CA
National Provider Identifier
1871761049
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A75077 Issued in CA
Legal business name
JEFFERY W ADKINS MD
Practice address
5404 Laurel Hills Dr
Sacramento, CA 95841-3106
Phone
(916) 967-4339
Fax
(916) 537-2974
NPI assigned
Feb 11, 2008
Last updated
Sep 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Dr. Jeffery W Adkins, MD
Title
Owner
Phone
(916) 967-4339

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT 11060 TPA CA
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT 15375 TLG CA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X A75077 CA Primary
Durable Medical Equipment & Medical Supplies 332B00000X A705770 CA

Addresses

Primary practice location

5404 Laurel Hills Dr
Sacramento, CA 95841-3106

Mailing address

5404 Laurel Hills Dr
Sacramento, CA 95841-3106
Phone (916) 967-4339

National Provider Directory

National Provider Directory

Locations

6403 Coyle Ave
Ste 280
Carmichael, CA 95608
Phone (916) 961-2021

2295 Fieldstone Dr
Lincoln, CA 95648
Phone (530) 635-6040

Practitioners & affiliated clinicians

Practitioners 3

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": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1871761049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 LAUREL HILLS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413106",
            "telephone_number": "916-967-4339",
            "fax_number": "916-537-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 LAUREL HILLS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413106",
            "telephone_number": "916-967-4339",
            "fax_number": "916-537-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY W ADKINS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-967-4339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 11060 TPA",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 15375 TLG",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A75077",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "A705770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.