Active NPI
Craig William Adams, O.D.
- Optometrist
- Sonora, CA
National Provider Identifier
1881720126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT10845T
- Practice address
- 940 Sylva LN Ste G
Sonora, CA 95370-5969 - Phone
- (209) 532-0340
- Fax
- (209) 532-6405
- NPI assigned
- Feb 23, 2007
- Last updated
- Apr 29, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT10845T | CA | Primary |
Addresses
Primary practice location
940 Sylva LN Ste G
Sonora, CA 95370-5969
Mailing address
940 Sylva LN Ste G
Sonora, CA 95370-5969
Phone (209) 532-0340
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SDO108450 | Medicaid | CA | |
| 410044133 | Other | CA | RAILROAD MEDICARE |
| 1299310001 | Other | CA | DMERC NORIDIAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT10845T | CA | MD | Optometrist |
Organizations & group practices 1
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.
-
dba Sonora Eye Surgery Medical Clinic
- Ophthalmology Physician
- Sonora, CA
- NPI 1497882914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430265600000",
"number": "1881720126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 SYLVA LN STE G",
"city": "SONORA",
"state": "CA",
"postal_code": "953705969",
"telephone_number": "209-532-0340",
"fax_number": "209-532-6405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 SYLVA LN STE G",
"city": "SONORA",
"state": "CA",
"postal_code": "953705969",
"telephone_number": "209-532-0340",
"fax_number": "209-532-6405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "CRAIG",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2015-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT10845T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SDO108450",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410044133",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC NORIDIAN",
"identifier": "1299310001",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.